Holmes, Lisa
Holmes, Lisa is an individual health care provider with primary practice located at 911 N Elm St Ste 123, Hinsdale IL 60521-3634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Holmes, Lisa can be contacted via phone (630) 325-5709.Contact Information
Primary practice address
911 N Elm St Ste 123
Hinsdale IL 60521-3634
Phone: (630) 325-5709
Fax: (630) 325-0388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36075938 | Illinois |
Profile Details
| NPI number | 1871550798 |
|---|---|
| LBN Legal business name | Holmes, Lisa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Mar 18th, 2021 - about 3 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 | 1871550798 | NPPES |
| Illinois | Other | 400280 | MEDICARE GROUP NUMBER |
| Illinois | MEDICAID | 036075938 | MEDICARE GROUP NUMBER |
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