Healthcare Provider Details

I. General information

NPI: 1811764814
Provider Name (Legal Business Name): SALIK GHAUS PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2023
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3755 E MAIN ST STE 190
ST CHARLES IL
60174-2463
US

IV. Provider business mailing address

237 MEADOWBROOK LN
HINSDALE IL
60521-5085
US

V. Phone/Fax

Practice location:
  • Phone: 630-549-6245
  • Fax:
Mailing address:
  • Phone: 630-484-8928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.022696
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: