Provider Demographics
NPI:1184651085
Name:HELWIG, JEFFREY B (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:B
Last Name:HELWIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 N RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-9675
Mailing Address - Country:US
Mailing Address - Phone:847-458-4754
Mailing Address - Fax:847-458-4756
Practice Address - Street 1:10440 N RIVER RD
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-9675
Practice Address - Country:US
Practice Address - Phone:847-458-4754
Practice Address - Fax:847-458-4756
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036068555207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK34498Medicare PIN
ILK25595Medicare ID - Type Unspecified
ILD16311Medicare UPIN