Individual
STEPHEN REESE HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 S HOSPITAL DR, MURPHYSBORO, IL 62966-3333
(618) 684-3156
(618) 529-0522
Mailing address
3023 N CLARK ST, CHICAGO, IL 60657-5200
(310) 866-2964
(618) 351-4821
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036118873
IL
207R00000X
Internal Medicine Physician
A100941
CA
208M00000X
Hospitalist Physician
Primary
036.118873
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A1009410
BCBS OF CA
CA
05
—
0A1009410
—
CA
Enumeration date
09/17/2007
Last updated
03/17/2018
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