Provider Demographics
NPI:1912081852
Name:SHIDLER, HELEN M (NP)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:SHIDLER
Suffix:
Gender:F
Credentials:NP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:550 W WEBSTER AVE
Mailing Address - Street 2:SUITE 3N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3965
Mailing Address - Country:US
Mailing Address - Phone:773-435-1150
Mailing Address - Fax:773-435-1330
Practice Address - Street 1:550 W WEBSTER AVE
Practice Address - Street 2:SUITE 3N
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3965
Practice Address - Country:US
Practice Address - Phone:773-435-1150
Practice Address - Fax:773-435-1330
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health