Holistic Healing Arts, LLC
Family Medicine in Pomona, IL. Organization (NPI-2).
NPI number1346332467
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1346332467
- Entity type
- Organization (NPI-2)
- Legal business name
- Holistic Healing Arts, LLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036113254 | IL | Yes |
Practice location
2010 Hickory Ridge RdPomona, IL 62975-2325
Phone 618-893-9150 · Fax 618-893-1960
Mailing address
2010 Hickory Ridge RdPomona, IL 62975-2325
Phone 618-893-9150 · Fax 618-893-1960
Authorized official
Linda Hostalek
Owner / Porvider
6188931950
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