Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LW0102X | Nurse Practitioner - Women's Health | 209000592 | IL |
NPI | 1023179389 |
---|---|
Provider Name | Ms. Beth Ann Helme-Smith |
First Address | Hinsdale, IL 60521-2950 |
Second Address | Hinsdale, IL 60521-2950 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 31/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036087211 | (05) | IL |