Holmgren, Calla M
Holmgren, Calla M is an individual health care provider with primary practice located at 1875 Dempster St , Park Ridge IL 60068-1186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Holmgren, Calla M can be contacted via phone (847) 723-8610.Contact Information
Primary practice address
1875 Dempster St
Park Ridge IL 60068-1186
Phone: (847) 723-8610
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 5611159-1205 | Utah |
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 036.110796 | Illinois |
Profile Details
NPI number | 1194805002 |
---|---|
LBN Legal business name | Holmgren, Calla M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2006 |
Last updated | Dec 15th, 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 | 1194805002 | NPPES |
Other | 1194805002 | NPI |
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