Hol Health Studio LLC
Clinic/Center, Health Services in Chicago, IL. Organization (NPI-2).
NPI number1982197158
StatusActive
Last updated in NPPESFeb 8, 2019
Details
- NPI
- 1982197158
- Entity type
- Organization (NPI-2)
- Legal business name
- Hol Health Studio LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2018
- Last updated
- Feb 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | 038010281 | IL | Yes |
Other names
- Hol Health Studio (Doing Business As)
Practice location
1157 W 18th StChicago, IL 60608-2387
Phone 630-242-0743
Mailing address
1157 W 18th StChicago, IL 60608-2387
Phone 312-344-1632
Authorized official
Peng Phetchamphone
Provider
3123441632
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