Individual
DAVID RONALD HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 E SUPERIOR ST, CHICAGO, IL 60611-4494
(312) 503-7975
Mailing address
4533 CANDLEBERRY AVE, SEAL BEACH, CA 90740-3026
(562) 243-5170
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125083210
IL
Other
Enumeration date
03/22/2023
Last updated
07/29/2024
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