Provider Demographics
NPI:1013002914
Name:HELMKE, MICHEL P
Entity Type:Individual
Prefix:
First Name:MICHEL
Middle Name:P
Last Name:HELMKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 W ROOSEVELT RD
Mailing Address - Street 2:ROOM 336 (M/C 628)
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608-1316
Mailing Address - Country:US
Mailing Address - Phone:312-413-1563
Mailing Address - Fax:312-413-1993
Practice Address - Street 1:1640 W ROOSEVELT RD
Practice Address - Street 2:ROOM 336 (M/C 628)
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-1316
Practice Address - Country:US
Practice Address - Phone:312-413-1563
Practice Address - Fax:312-413-1993
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-000949235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist