Individual
DR. ASIF A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1751 S NAPERVILLE RD, SUITE 207, WHEATON, IL 60189
(630) 774-8316
(630) 690-3353
Mailing address
1751 S NAPERVILLE RD, SUITE 207, WHEATON, IL 60189
(630) 774-8316
(630) 690-3353
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005733
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623115
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/04/2007
Last updated
06/24/2008
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