Healthcare Provider Details

I. General information

NPI: 1124357421
Provider Name (Legal Business Name): CAFAL CLINIC FOR PSYCHIATRIC AND CONSULTATION SERVICES S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2009
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 DUNHAM RD STE 100
SAINT CHARLES IL
60174-1453
US

IV. Provider business mailing address

455 DUNHAM RD STE 100
SAINT CHARLES IL
60174-1453
US

V. Phone/Fax

Practice location:
  • Phone: 630-770-3475
  • Fax: 331-901-5127
Mailing address:
  • Phone: 630-770-3475
  • Fax: 331-901-5127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180005355
License Number StateIL

VIII. Authorized Official

Name: DR. FATIMA MEHJABEEN HADI
Title or Position: DIRECTOR AND SOLE SHAREHOLDER
Credential: MD
Phone: 331-643-0085