Hollandsworth, Don Leroy

Hollandsworth, Don Leroy is an individual health care provider with primary practice located at 4001 Vollmer Rd. , Olympia Fields IL 60461-1073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hollandsworth, Don Leroy can be contacted via phone (708) 481-8883.

Contact Information

Primary practice address
4001 Vollmer Rd. Olympia Fields IL 60461-1073
Phone: (708) 481-8883
Fax: (708) 481-2917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036042652 Illinois

Profile Details

NPI number 1730274770
LBN Legal business name Hollandsworth, Don Leroy
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 26th, 2014 - about 11 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 1730274770 NPPES
Illinois MEDICAID 036042652

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