Organization
STEPHEN HOLTSFORD ENTERPRISES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R HOLTSFORD MD (OWNER)
(630) 881-5698
Entity
Organization
Contact information
Practice address
3N845 EMILY DICKINSON LN, ST CHARLES, IL 60175-7797
(630) 881-5698
Mailing address
3N845 EMILY DICKINSON LN, ST CHARLES, IL 60175-7797
(630) 881-5698
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
04/29/2026
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