# CHARLES B HOLMES, MD, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386659175
- **Authorized official:** CHARLES B HOLMES MD (PRESIDENT)
- **Authorized official phone:** (773) 221-1690

## Contact information

- **Practice address:** 10547 S EWING AVE, CHICAGO, IL 60617-6220
- **Practice address phone:** (773) 221-1690
- **Practice address fax:** (773) 221-1675
- **Mailing address:** 7703 S CREGIER AVE, CHICAGO, IL 60649-4609
- **Mailing address phone:** (773) 221-1690
- **Mailing address fax:** (773) 221-1675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 04/30/2015