Healthcare Provider Details

I. General information

NPI: 1023376191
Provider Name (Legal Business Name): ASMA HALIM LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2012
Last Update Date: 04/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 S CLAY ST STE 210
HINSDALE IL
60521-3257
US

IV. Provider business mailing address

40 S CLAY ST STE 210
HINSDALE IL
60521-3257
US

V. Phone/Fax

Practice location:
  • Phone: 630-920-1795
  • Fax: 630-920-1796
Mailing address:
  • Phone: 630-920-1795
  • Fax: 630-920-1796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149013582
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: