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Individual

MS. DELICIA HOLMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1580 N NORTHWEST HWY STE 121A, PARK RIDGE, IL 60068-1462
(847) 813-5779
(847) 813-5216
Mailing address
9808 S NORMAL AVE, CHICAGO, IL 60628-1213
(224) 318-9647

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.420596
IL
363L00000X
Nurse Practitioner
Primary
209.030366
IL

Other

Enumeration date
05/31/2024
Last updated
11/06/2024
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