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Individual

JOSEPH ROBERT HOLTMAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153
(708) 216-9000
Mailing address
2 WESTBROOK CORPORATE CTR STE 600, WESTCHESTER, IL 60154-5716
(708) 216-5092

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
32026
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036124722
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
32026
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64320260
KY
Enumeration date
09/29/2006
Last updated
06/24/2021
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