Individual
MS. M C HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH,MMS, PA-C
Contact information
Practice address
1950 W POLK ST, PROFESSIONAL BLDG, 2ND FL, CHICAGO, IL 60612
(312) 864-4471
(312) 864-9593
Mailing address
1950 W POLK ST, PROFESSIONAL BLDG, ONCOLOGY CLINIC, CHICAGO, IL 60612-3723
(312) 864-4471
(312) 864-9593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000976
IL
363AM0700X
Medical Physician Assistant
85-000976
IL
Other
Enumeration date
07/18/2006
Last updated
04/26/2021
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