Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | IL |
NPI | 1326151796 |
---|---|
Provider Name | Dr. Helen S Gue |
First Address | Darien, IL 60561-3503 |
Second Address | Chicago, IL 60609-4718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0031602140 | BLUE CROSS NO (01) | IL |
C48598 | (02) | IL |