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:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013047018 | NPPES |
| Illinois | MEDICAID | 071004106 |
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