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Organization
PRIZM BEHAVIORAL SERVICES, PC
Active
Organization
PRIZM BEHAVIORAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASMAT Z JAFRY MD (PSYCHIATRIST)
(630) 848-1200
Entity
Organization
Contact information
Practice address
230 MARTIN AVE, NAPERVILLE, IL 60540-6536
(630) 848-1200
(630) 848-1208
Mailing address
PO BOX 2800, NAPERVILLE, IL 60567-2800
(630) 848-1200
(630) 848-1208
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
036114959
IL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
036114959
IL
261QM0850X
Adult Mental Health Clinic/Center
036114959
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
036114959
IL
261QM2500X
Medical Specialty Clinic/Center
036114959
IL
305R00000X
Preferred Provider Organization
036114959
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114959
—
IL
Enumeration date
06/18/2008
Last updated
03/27/2025
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