Holmes, Judith A

Holmes, Judith A is an sole proprietor health care provider with primary practice located at 1440 Renaissance Dr Ste 220 , Park Ridge IL 60068-1452. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Holmes, Judith A can be contacted via phone (847) 296-3442.

Contact Information

Primary practice address
1440 Renaissance Dr Ste 220 Park Ridge IL 60068-1452
Phone: (847) 296-3442
Fax: (847) 296-3543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 071004106 Illinois

Profile Details

NPI number 1013047018
LBN Legal business name Holmes, Judith A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Apr 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013047018 NPPES
Illinois MEDICAID 071004106

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