Individual
MR. GUY R ABDERHOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
543 ORCHARD ST, ANTIOCH, IL 60002-3107
(847) 395-3322
(847) 395-0921
Mailing address
543 ORCHARD ST, ANTIOCH, IL 60002-3107
(847) 395-3322
(847) 395-0921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-084853
IL
207Q00000X
Family Medicine Physician
33453020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360848531
—
IL
Enumeration date
08/26/2005
Last updated
12/10/2021
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