Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | IL |
NPI | 1295731313 |
---|---|
Provider Name | Dr. Helen Rose Minciotti |
First Address | Schaumburg, IL 60173-4356 |
Second Address | Schaumburg, IL 60173-4356 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 08/07/2007 |