Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 036092313 | IL |
NPI | 1033272554 |
---|---|
Provider Name | Helen S Te |
First Address | Chicago, IL 60637-1447 |
Second Address | Burr Ridge, IL 60527-6686 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 07/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036092313 | (05) | IL |