Organization
JUDITH A. HOLMES, PHD., P.C.
Active
Organization
JUDITH A. HOLMES, PHD., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH A. HOLMES PH.D. (PRESIDENT)
(847) 296-3442
Entity
Organization
Contact information
Practice address
1440 RENAISSANCE DRIVE, SUITE 200, PARK RIDGE, IL 60068
(847) 296-3442
(847) 296-3543
Mailing address
1440 RENAISSANCE DRIVE, SUITE 200, PARK RIDGE, IL 60068
(847) 296-3442
(847) 296-3543
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071004106
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01673546
BLUE SHIELD
IL
Enumeration date
10/03/2006
Last updated
08/16/2013
Update your record
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