Individual
PAULETTE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 W MADISON ST, CHICAGO, IL 60602-4309
(773) 553-1800
Mailing address
42 W MADISON ST, CHICAGO, IL 60602-4309
(773) 553-1800
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1687041
ISBE
IL
Enumeration date
01/31/2023
Last updated
01/31/2023
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