Organization
BRIGHTHOUSE DIAGNOSTICS, LLC
Active
Other names
Brighthouse Diagnostics and Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIRA ASLAM KHAN PSYD (CLINICAL PSYCHOLOGIST)
(773) 799-8939
Entity
Organization
Contact information
Practice address
2919 N SOUTHPORT AVE APT 1, CHICAGO, IL 60657-7387
(920) 474-5044
Mailing address
2919 N SOUTHPORT AVE APT 1, CHICAGO, IL 60657-7387
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
09/16/2019
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