Provider Demographics
NPI:1053938217
Name:HELINA FLEMING, DINA (DO)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:HELINA FLEMING
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:HALINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 776084
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-5117
Mailing Address - Country:US
Mailing Address - Phone:314-698-2500
Mailing Address - Fax:
Practice Address - Street 1:12200 WEBER HILL RD STE 100
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63127-1569
Practice Address - Country:US
Practice Address - Phone:146-982-5003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020019335207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine