Healthcare Provider Details

I. General information

NPI: 1861784647
Provider Name (Legal Business Name): HELEN M HANDSCHUH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2011
Last Update Date: 05/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 N HIGHLAND AVE
AURORA IL
60506-1401
US

IV. Provider business mailing address

1230 N HIGHLAND AVE
AURORA IL
60506-1401
US

V. Phone/Fax

Practice location:
  • Phone: 877-792-0410
  • Fax: 630-859-3841
Mailing address:
  • Phone: 877-792-0410
  • Fax: 630-859-3841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number041321512
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: