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Holly Woods
NPI 1902310519 · on the registry since 2017 · sole proprietor
Practice
- Address
- 250 N Poplar St
Manteno, IL 60950 - Phone
- (815) 928-7194
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-11-20
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