Provider Demographics
NPI:1003359795
Name:MUCHOW, HELEN MARIE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:MARIE
Last Name:MUCHOW
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CAMBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:IL
Mailing Address - Zip Code:60013-1907
Mailing Address - Country:US
Mailing Address - Phone:847-946-7367
Mailing Address - Fax:833-505-2696
Practice Address - Street 1:9245 S. ROUTE 31
Practice Address - Street 2:
Practice Address - City:LAKE IN THE HILLS
Practice Address - State:IL
Practice Address - Zip Code:60156
Practice Address - Country:US
Practice Address - Phone:847-946-7367
Practice Address - Fax:833-505-2696
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-29
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.015189363LF0000X
IL277001372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL337001336OtherCONTROLLED SUBSTANCE LICENSE
IL041376232OtherRN LICENSE
277100372OtherFULL PRACTICE AUTHORITY STATE LICENSE