Individual
GERALDINE HOLT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6474
Mailing address
15723 HOMAN AVE, MARKHAM, IL 60428-3926
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
IL
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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