Individual
ASIFA CHOUDHRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3024 E EMPIRE ST FL 2, BLOOMINGTON, IL 61704-5402
(309) 556-7800
(309) 556-7804
Mailing address
3024 E EMPIRE ST FL 2, BLOOMINGTON, IL 61704-5402
(309) 556-7800
(309) 556-7804
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01090404A
IN
2084P0800X
Psychiatry Physician
Primary
036141502
IL
Other
Enumeration date
06/17/2010
Last updated
12/06/2024
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