Individual
PETER M HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 15-170, CHICAGO, IL 60611-5975
(312) 695-8150
Mailing address
675 N SAINT CLAIR ST, CHICAGO, IL 60611-5975
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036122365
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135249408
—
TX
Enumeration date
12/13/2005
Last updated
06/02/2014
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