Holanday, Izabela Agnieszka

Holanday, Izabela Agnieszka is an individual health care provider with primary practice located at 25 North Winfield Road , Winfield IL 60190-1295. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Holanday, Izabela Agnieszka can be contacted via phone (630) 933-4257.

Contact Information

Primary practice address
25 North Winfield Road Winfield IL 60190-1295
Phone: (630) 933-4257
Fax: (630) 933-4520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085005050 Illinois

Profile Details

NPI number 1023429065
LBN Legal business name Holanday, Izabela Agnieszka
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2014
Last updated Oct 10th, 2018 - about 7 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 1023429065 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other F400144739 MEDICARE PTAN (GROUP)

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