Provider Demographics
NPI:1023179389
Name:HELME-SMITH, BETH ANN (APN, CNM, NP)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANN
Last Name:HELME-SMITH
Suffix:
Gender:F
Credentials:APN, CNM, NP
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:HELME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 N YORK RD
Mailing Address - Street 2:STE 102
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-2950
Mailing Address - Country:US
Mailing Address - Phone:630-920-1347
Mailing Address - Fax:
Practice Address - Street 1:950 N YORK RD
Practice Address - Street 2:102
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-2950
Practice Address - Country:US
Practice Address - Phone:630-920-1347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2014-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209000591367A00000X
IL209000592363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036087211Medicaid
ILF71322Medicare UPIN