Active NPI
Maura O'Connor Hellmich, RDH
- Dental Hygienist
- Palos Park, IL
National Provider Identifier
1063015998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 020.006052
- Practice address
- 8459 W Hillside Dr
Palos Park, IL 60464-2058 - Phone
- (708) 567-5201
- NPI assigned
- Nov 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020.006052 | IL | Primary |
Addresses
Primary practice location
8459 W Hillside Dr
Palos Park, IL 60464-2058
Mailing address
8459 W Hillside Dr
Palos Park, IL 60464-2058
Phone (708) 567-5201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020.006052 | IL | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606003200000",
"number": "1063015998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8459 W HILLSIDE DR",
"city": "PALOS PARK",
"state": "IL",
"postal_code": "604642058",
"telephone_number": "708-567-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8459 W HILLSIDE DR",
"city": "PALOS PARK",
"state": "IL",
"postal_code": "604642058",
"telephone_number": "708-567-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR HELLMICH",
"first_name": "MAURA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-22",
"last_updated": "2020-11-22",
"certification_date": "2020-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "IL",
"license": "020.006052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palos Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.