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Individual

DR. JOHN S. HELFRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1266
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1266

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036-049362
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036049362 1
IL
01
130006749
RAILROAD MEDICARE
01
279500
MEDICARE GROUP
Enumeration date
08/01/2006
Last updated
11/03/2014
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