Individual
NICHOLAS HOLWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
611 W. PARK ST., EMERGENCY ROOM, URBANA, IL 61801-2500
(217) 383-3311
(217) 383-4014
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004823
IL
Other
Enumeration date
10/14/2013
Last updated
09/29/2015
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