SELF EMPOWERMENT CENTER P.C. NPI 1134301815

NPI Information

NPI: 1134301815
Provider Name: SELF EMPOWERMENT CENTER, P.C.
Classification: Clinic/Center - 261QM0850X
Specialization: Adult Mental Health
Entity Type: Organization
Address: 1751 S NAPERVILLE RD
SUITE 207
WHEATON, IL
ZIP 60189
Phone: (630) 774-8316

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NPI Details

SELF EMPOWERMENT CENTER, P.C. is an adult mental health clinic center in Wheaton, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SELF EMPOWERMENT CENTER, P.C. NPI is 1134301815. The provider is registered as an organization entity type.

The provider's business location address is:

1751 S NAPERVILLE RD
SUITE 207
WHEATON, IL
ZIP 60189-896
Phone: (630) 774-8316
Fax: (630) 690-3353

The provider's authorized official is Asif A Khan .
The authorized official title is President and has the following contact phone number (630) 774-8316.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 9/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	071-005466	ILLINOIS	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	071-005466	ILLINOIS	No
3	261QM0850X	Clinic/Center	Adult Mental Health	071-005733	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01623115	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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