Individual
DR. JUDITH A HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1440 RENAISSANCE DR STE 220, PARK RIDGE, IL 60068-1452
(847) 296-3442
(847) 296-3543
Mailing address
1440 RENAISSANCE DR STE 220, PARK RIDGE, IL 60068-1452
(847) 296-3442
(847) 296-3543
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071004106
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071004106
—
IL
Enumeration date
03/07/2007
Last updated
04/17/2020
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