Individual
MISS HOLLY ANN WALICEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1030 W HIGGINS RD, HOFFMAN ESTATES, IL 60195-3200
(847) 885-0078
(847) 885-0026
Mailing address
360 KINGSBURY DR, DEKALB, IL 60115-8283
(815) 739-7726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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