Nicholas William Holbrook
Student in an Organized Health Care Education/Training Program in Palos Hills, IL. Individual provider (NPI-1).
NPI number1164050928
StatusActive
Last updated in NPPESMar 28, 2020
Details
- NPI
- 1164050928
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nicholas William Holbrook
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2020
- Certification date
- Mar 28, 2020
- Last updated
- Mar 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | IL | Yes |
Practice location
10511 S Roberts RdPalos Hills, IL 60465-3912
Phone 708-307-0220
Mailing address
10511 S Roberts RdPalos Hills, IL 60465-3912
Phone 708-307-0220
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