Provider Demographics
NPI:1922199629
Name:HELWIG, GERALD E (DC)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:E
Last Name:HELWIG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4907 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-2503
Mailing Address - Country:US
Mailing Address - Phone:708-422-3300
Mailing Address - Fax:708-422-3303
Practice Address - Street 1:4907 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2503
Practice Address - Country:US
Practice Address - Phone:708-422-3300
Practice Address - Fax:708-422-3303
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-005371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1635003OtherBLUECROSS BLUESHIELD
IL210917Medicare ID - Type Unspecified