Holloway, Nathaniel Overton

Holloway, Nathaniel Overton is an individual health care provider with primary practice located at 7531 S Stony Island Ave Basement, Chicago IL 60649-3954. He recently has only one registered license in Allopathic & Osteopathic Physicians / Therapeutic Radiology, which is considered as his primary health care specialty. Holloway, Nathaniel Overton can be contacted via phone (773) 947-7850.

Contact Information

Primary practice address
7531 S Stony Island Ave Basement Chicago IL 60649-3954
Phone: (773) 947-7850
Fax: (773) 947-7852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X 036073542 Illinois

Profile Details

NPI number 1982659561
LBN Legal business name Holloway, Nathaniel Overton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 20th, 2009 - about 17 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 1982659561 NPPES
Illinois MEDICAID 036073542

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