Individual
CHASE HOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 N PROMENADE ST, HAVANA, IL 62644-1243
(309) 543-6600
(309) 543-2089
Mailing address
615 N PROMENADE ST, HAVANA, IL 62644-1243
(309) 543-6600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016758
IL
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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