Provider Demographics
NPI:1982193181
Name:HELLEBUYCK, GAIL A
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:A
Last Name:HELLEBUYCK
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 1:23252 N KELSEY AVE
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-1873
Mailing Address - Country:US
Mailing Address - Phone:847-858-3553
Mailing Address - Fax:
Practice Address - Street 1:5911 NORTHWEST HWY STE 207
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60014-8043
Practice Address - Country:US
Practice Address - Phone:815-526-3781
Practice Address - Fax:815-526-3094
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.238643163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult