Maes, Holly Mae

Maes, Holly Mae is an individual health care provider with primary practice located at 737 N Logan Ave , Danville IL 61832-4363. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Maes, Holly Mae can be contacted via phone (217) 442-0433.

Contact Information

Primary practice address
737 N Logan Ave Danville IL 61832-4363
Phone: (217) 442-0433
Fax: (217) 442-0485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-113601 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036113601 Illinois

Profile Details

NPI number 1548285612
LBN Legal business name Maes, Holly Mae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 22nd, 2013 - about 13 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 1548285612 NPPES
Illinois MEDICAID 0361136011
Illinois Other 371548

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