Individual
DON LEROY HOLLANDSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4001 VOLLMER RD., OLYMPIA FIELDS, IL 60461-1073
(708) 481-8883
(708) 481-2917
Mailing address
20110 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1030
(708) 747-7960
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036042652
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042652
—
IL
Enumeration date
10/04/2006
Last updated
06/26/2014
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