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Individual

JANE LOUISE HOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD MPH

Contact information

Practice address
467 W DEMING ST, LINCOLN PARK PRIMARY CARE, CHICAGO, IL 60614
(773) 327-9125
Mailing address
339 E CHICAGO AVE, ROOM 717, CHICAGO, IL 60611
(312) 503-0392
(312) 503-2936

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
IL

Other

Enumeration date
04/13/2006
Last updated
07/24/2007
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