Individual
LORI HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9301 WAUKEGAN RD, MORTON GROVE, IL 60053-1313
(800) 323-8622
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
15115
WI
363LF0000X
Family Nurse Practitioner
Primary
209009125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100280383
—
WI
Enumeration date
09/17/2012
Last updated
07/02/2024
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