Heidi J Helgeson Donaubauer, L.M.T
Individual provider Active NPI Specialist · Lindenhurst, IL
NPI 1497036628 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1497036628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 227013231 (IL)
- Practice address
- 3021 Falling Waters Blvd
Suite C
Lindenhurst, IL 60046-6745 - Phone
- (847) 356-2895
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227013231 | IL | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 227013231 | IL | Yes |
Addresses
Primary practice location
3021 Falling Waters Blvd
Suite C
Lindenhurst, IL 60046-6745
Mailing address
36872 N Lawrence Dr
Lake Villa, IL 60046-9349
Phone (224) 456-4347
Other providers in Lindenhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.