Provider Demographics
NPI:1750633293
Name:HELPING HANDS MEDICAL CLINIC LTD
Entity type:Organization
Organization Name:HELPING HANDS MEDICAL CLINIC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOLYCROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:217-597-9393
Mailing Address - Street 1:405 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:61832-4451
Mailing Address - Country:US
Mailing Address - Phone:217-446-1100
Mailing Address - Fax:217-446-1101
Practice Address - Street 1:405 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:IL
Practice Address - Zip Code:61832-4451
Practice Address - Country:US
Practice Address - Phone:217-446-1100
Practice Address - Fax:217-446-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-08
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036112288261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care