Holden, Jill K.

Holden, Jill K. is an individual health care provider with primary practice located at 959 S Waukegan Rd Floor 2, Lake Forest IL 60045-2654. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Holden, Jill K. can be contacted via phone (847) 234-3250.

Contact Information

Primary practice address
959 S Waukegan Rd Floor 2 Lake Forest IL 60045-2654
Phone: (847) 234-3250
Fax: (847) 234-8155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036084302 Illinois

Profile Details

NPI number 1548289200
LBN Legal business name Holden, Jill K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 19th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548289200 NPPES
Illinois MEDICAID 036084302

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