Individual
DR. CHARLES B HOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6030 GARRETT LN, ROCKFORD, IL 61107-6637
(815) 226-1172
Mailing address
6030 GARRETT LN, ROCKFORD, IL 61107-6637
(815) 226-1172
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036054580
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054580
—
IL
Enumeration date
09/01/2006
Last updated
11/25/2013
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