Individual
DR. LIANNE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 GORE RD, MORRIS, IL 60450-9466
(815) 364-8919
(815) 942-4913
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036111869
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-111869
STATE LICENSE
IL
Enumeration date
03/14/2007
Last updated
04/15/2021
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