Individual
HELEN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Mailing address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008420
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085008420
STATE LICENSE
IL
01
—
1184007
SPECIALTY BOARDS
IL
01
—
385006481
CS LICENSE
IL
Enumeration date
02/11/2020
Last updated
03/07/2023
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