Fedor, Holly Moak
Fedor, Holly Moak is an individual health care provider with primary practice located at 13011 S 104Th Ave Suite 200, Palos Park IL 60464-1506. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fedor, Holly Moak can be contacted via phone (708) 448-3300.Contact Information
Primary practice address
13011 S 104Th Ave Suite 200
Palos Park IL 60464-1506
Phone: (708) 448-3300
Fax: (708) 448-6972
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1952401945 |
|---|---|
| LBN Legal business name | Fedor, Holly Moak |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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