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Individual

DR. ERIC P HELFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-1240
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1240

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036115465
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036115445 1
IL
01
036115465
IL STATE LICENSE NUMBER
IL
01
279502
MEDICARE UROLOGY CLIA GROUP
IL
01
P00382770
RAILROAD MEDICARE
IL
Enumeration date
09/19/2006
Last updated
01/05/2022
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