Individual
MRS. LISA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
911 N ELM ST, STE 123, HINSDALE, IL 60521-3634
(630) 325-5709
(630) 325-0388
Mailing address
911 N ELM ST, STE 123, HINSDALE, IL 60521-3634
(630) 325-5709
(630) 325-0388
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36075938
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075938
—
IL
01
—
400280
MEDICARE GROUP NUMBER
IL
Enumeration date
04/26/2006
Last updated
03/18/2021
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