=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649672999
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANET ODRY HELMINSKI PT, PHD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/18/2014
-----------------------------------------------------
Last Update Date | 09/18/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3450 LACEY RD
-----------------------------------------------------
City | DOWNERS GROVE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60515-5430
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-743-5774
-----------------------------------------------------
Fax | 630-743-4560
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 555 31ST ST
-----------------------------------------------------
City | DOWNERS GROVE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60515-1235
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-515-7222
-----------------------------------------------------
Fax | 630-515-7224
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2251N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physical Therapist
-----------------------------------------------------
License Number | 070004116
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2251N0400X
-----------------------------------------------------
Taxonomy Name | Neurology Physical Therapist
-----------------------------------------------------
License Number | 269624
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------