Individual
HOLLY S CAROBENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
360 STATION DR STE 100, CRYSTAL LAKE, IL 60014
(815) 477-0174
Mailing address
360 STATION DR STE 300, CRYSTAL LAKE, IL 60014-8003
(815) 338-6600
(815) 356-2388
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036074517
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036074517
IL
208VP0014X
Interventional Pain Medicine Physician
036074517
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036074517
STATE LICENSE
IL
Enumeration date
09/05/2006
Last updated
07/25/2024
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