Delicia Holmes
Nurse Practitioner in Park Ridge, IL. Individual provider (NPI-1).
NPI number1063252583
StatusActive
Last updated in NPPESNov 6, 2024
Details
- NPI
- 1063252583
- Entity type
- Individual (NPI-1)
- Name
- Ms. Delicia Holmes
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2024
- Certification date
- Nov 6, 2024
- Last updated
- Nov 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.030366 | IL | Yes |
| 163W00000X | Registered Nurse | 041.420596 | IL |
Practice location
1580 N Northwest Hwy Ste 121aPark Ridge, IL 60068-1462
Phone 847-813-5779 · Fax 847-813-5216
Mailing address
9808 S Normal AveChicago, IL 60628-1213
Phone 224-318-9647
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