Individual
DR. HADYN MICHAEL HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 S PAULINA ST, 527 ACFAC, CHICAGO, IL 60612-3806
(312) 942-5495
(312) 942-5727
Mailing address
1647 PORTSMOUTH AVE, FIRST FLOOR, WESTCHESTER, IL 60154-4476
(815) 768-7395
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125059402
IL
208600000X
Surgery Physician
4777-320
WI
2086S0102X
Surgical Critical Care Physician
036-140738
IL
Other
Enumeration date
05/25/2011
Last updated
09/25/2024
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