Provider Demographics
NPI:1205003480
Name:XENOS, HELEN P
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:P
Last Name:XENOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 W MADISON ST
Mailing Address - Street 2:SUITE 3825
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-4510
Mailing Address - Country:US
Mailing Address - Phone:312-219-2230
Mailing Address - Fax:312-219-2239
Practice Address - Street 1:181 W MADISON ST
Practice Address - Street 2:SUITE 3825
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-4510
Practice Address - Country:US
Practice Address - Phone:312-219-2230
Practice Address - Fax:312-219-2239
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036126777207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine