Carobene, Holly S
Carobene, Holly S is an individual health care provider with primary practice located at 360 Station Dr Ste 100 , Crystal Lake IL 60014. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Carobene, Holly S can be contacted via phone (815) 477-0174.Contact Information
Primary practice address
360 Station Dr Ste 100
Crystal Lake IL 60014
Phone: (815) 477-0174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036074517 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 036074517 | Illinois |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 036074517 | Illinois |
Profile Details
| NPI number | 1326140633 |
|---|---|
| LBN Legal business name | Carobene, Holly S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jan 14th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326140633 | NPPES |
| Illinois | Other | 036074517 | STATE LICENSE |
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