Provider Demographics
NPI:1326151796
Name:GUE, HELEN S (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:S
Last Name:GUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7106 EXNER RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-3503
Mailing Address - Country:US
Mailing Address - Phone:630-212-2419
Mailing Address - Fax:630-512-0173
Practice Address - Street 1:5053 S DAMEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60609-4718
Practice Address - Country:US
Practice Address - Phone:773-436-2170
Practice Address - Fax:630-512-0173
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0031602140OtherBLUE CROSS NO
IL0031602140OtherBLUE CROSS NO
IL761820Medicare ID - Type UnspecifiedMEDICARE NO