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Theodis Holmes

NPI 1326400045 · on the registry since 2016

Practice

Address
3010 Grand Ave
Waukegan, IL 60085
Phone
(847) 377-6868
Fax
(847) 984-5659
Organisation at this address
Cabs
County Of Lake
County Of Lake
County Of Lake
County Of Lake
Inferred from a shared address, not stated in the registry.
Clinicians at this address
349

Registry record

Primary taxonomy
Mental Health Counselor
101YM0800X
Sex
Male
Record last updated
2016-03-22
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois