Individual
BECKY HOLLIBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1440 W TAYLOR ST, CHICAGO, IL 60607-4623
(701) 857-7370
Mailing address
224 S MARKET ST, SHICKLEY, NE 68436-4038
(225) 288-9300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102209724
VA
207Q00000X
Family Medicine Physician
Primary
504
NE
207Q00000X
Family Medicine Physician
OS025496C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47600054904
—
NE
Enumeration date
07/28/2006
Last updated
01/15/2026
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