Dr. Alexandria Holliday, M.D.
Pediatrics, Adolescent Medicine in Maywood, IL. Individual provider (NPI-1).
NPI number1285028886
StatusActive
Last updated in NPPESOct 18, 2022
Details
- NPI
- 1285028886
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alexandria Holliday
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2015
- Certification date
- Oct 18, 2022
- Last updated
- Oct 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | 036157301 | IL | Yes |
| 208000000X | Pediatrics | 125067433 | IL | |
| 2080A0000X | Pediatrics, Adolescent Medicine | 6899720 | WI |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 708-216-9000
Mailing address
1675 Dempster StYacktman Pavilion
Park Ridge, IL 60068-1110
Phone 847-795-5865
Other practice locations
999 N 92nd St Ste C460
Milwaukee, WI 53226
Milwaukee, WI 53226
Phone 414-337-7059
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