Individual
IRIS HOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3920 N JANSSEN AVE UNIT G, CHICAGO, IL 60613-5168
(651) 808-7525
Mailing address
555 31ST ST, DOWNERS GROVE, IL 60515-1235
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-010154
IL
Other
Enumeration date
09/15/2022
Last updated
03/27/2024
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