Individual
DR. JOHN PATRICK HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 E STATE ST, SUITE 9, ROCKFORD, IL 61104-2231
(815) 972-1000
(815) 972-1086
Mailing address
1221 E STATE ST, SUITE 9, ROCKFORD, IL 61104-2231
(815) 972-1000
(815) 972-1086
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036-086824
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036086824
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086824
—
IL
Enumeration date
01/16/2007
Last updated
12/09/2013
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