Provider Demographics
NPI:1285878405
Name:HELGESON, MARIA LOUISE (MS)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:LOUISE
Last Name:HELGESON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:LOUISE
Other - Last Name:NIENDORF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2245 W SCHOOL ST
Mailing Address - Street 2:APT 1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-6321
Mailing Address - Country:US
Mailing Address - Phone:773-749-6818
Mailing Address - Fax:
Practice Address - Street 1:2300 N CHILDRENS PLZ
Practice Address - Street 2:BOX 59
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:773-880-3358
Practice Address - Fax:773-929-9565
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL247.000002170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS