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Individual

MRS. HELEN MARIE MUCHOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
9245 S. ROUTE 31, LAKE IN THE HILLS, IL 60156
(847) 946-7367
(833) 505-2696
Mailing address
10 CAMBRIDGE CT, CARY, IL 60013-1907
(847) 946-7367
(833) 505-2696

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.015189
IL
363LF0000X
Family Nurse Practitioner
Primary
277001372
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041376232
RN LICENSE
IL
01
277100372
FULL PRACTICE AUTHORITY STATE LICENSE
01
337001336
CONTROLLED SUBSTANCE LICENSE
IL
Enumeration date
11/29/2016
Last updated
01/03/2023
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