Provider Demographics
NPI:1740230671
Name:KAPSAS, HELEN (DO)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:KAPSAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5410 MARYLAND WAY
Mailing Address - Street 2:STE 300
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5064
Mailing Address - Country:US
Mailing Address - Phone:615-371-5763
Mailing Address - Fax:888-241-1404
Practice Address - Street 1:801 13TH AVE
Practice Address - Street 2:COGENT HEALTHCARE
Practice Address - City:SILVIS
Practice Address - State:IL
Practice Address - Zip Code:61282-1804
Practice Address - Country:US
Practice Address - Phone:309-792-6588
Practice Address - Fax:309-792-6562
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036099113207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1740230671OtherBCBS
IL036099113Medicaid
080127704OtherRAILROAD MEDICARE
ILIL240006Medicare PIN
L67595Medicare PIN
080127704OtherRAILROAD MEDICARE