Individual
JONATHAN A. HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1893 SHERIDAN RD, HIGHLAND PARK, IL 60035-2628
(650) 450-8102
Mailing address
2817 W END AVE, 436, NASHVILLE, TN 37203-1453
(650) 450-8102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.162121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX89800
—
CA
Enumeration date
02/07/2007
Last updated
02/06/2023
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