Individual
DR. NATHAN P HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(847) 227-8987
(847) 618-3259
Mailing address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(877) 635-9229
(847) 618-3259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036121967
IL
208M00000X
Hospitalist Physician
Primary
036121967
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036121967
STATE LICENSE
IL
05
—
036121967
—
IL
01
—
833230
MEDICARE GROUP #
—
01
—
CA2181
RR MEDICARE GROUP #
—
01
—
P00765815
RR MEDICARE INDIVISUAL
—
Enumeration date
06/10/2008
Last updated
04/29/2021
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