Organization
HOLON INCLUSIVE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA WHELAN (OWNER)
(636) 236-5128
Entity
Organization
Contact information
Practice address
301 S MAIN ST, DUPO, IL 62239-1325
(844) 902-2554
Mailing address
2501 CHATHAM RD STE R, SPRINGFIELD, IL 62704-4188
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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