Provider Demographics
NPI:1366451304
Name:MUIRRAGUI, HELENA (MD)
Entity Type:Individual
Prefix:DR
First Name:HELENA
Middle Name:
Last Name:MUIRRAGUI
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 1:12 SALT CREEK LN
Mailing Address - Street 2:SUITE 405
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-8605
Mailing Address - Country:US
Mailing Address - Phone:630-789-7800
Mailing Address - Fax:630-789-7803
Practice Address - Street 1:12 SALT CREEK LN
Practice Address - Street 2:SUITE 405
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8605
Practice Address - Country:US
Practice Address - Phone:630-789-7800
Practice Address - Fax:630-789-7803
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-100539174400000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILHI5377Medicare UPIN