MEDICARE: HOLLY ISAAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	164006846	IL

General Provider Information

NPI Number	:	1861015232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY ISAAC

Provider Business Mailing Address
First Line	:	2214 S STONEBROOKE CT
Second Line	:
City	:	URBANA
State	:	IL
Zip	:	61802-9449
Country	:	US
Telephone Number	:	206-445-9195
Fax Number	:

Provider Business Practice Location Address
First Line	:	2214 S STONEBROOKE CT
Second Line	:
City	:	URBANA
State	:	IL
Zip	:	61802-9449
Country	:	US
Telephone Number	:	206-445-9195
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2020
Last Update Date	:	04/10/2026

Similar Medicare Providers

1891581724 — CALANDRIA BURDEN
Practice Location Address:

5444 WILLOW DALE RD
URBANA, OH
43078-9449

Practice Phone: 937-926-4058
Practice Fax:

1922003326 — CLARK-LINDSEY VILLAGE, INC.
Practice Location Address:

101 W WINDSOR RD
URBANA, IL
61802-6663

Practice Phone: 217-344-2144
Practice Fax: 217-344-9147

1619973021 — DR. ALBERT GREGORY NACHOWICZ DPM
Practice Location Address:

2406 E UNIVERSITY AVE , STE 1
URBANA, IL
61802-6204

Practice Phone: 217-384-2071
Practice Fax: 217-384-2095

1982602330 — CHAMPAIGN COUNTY
Practice Location Address:

500 SOUTH ART BARTELL ROAD
URBANA, IL
61802

Practice Phone: 217-384-3874
Practice Fax: 217-337-0120

1306838503 — DR. AHMED TAREK ELRAKHAWY M.D.
Practice Location Address:

1818 E WINDSOR RD
URBANA, IL
61802-9566

Practice Phone: 217-255-9646
Practice Fax: 217-326-1777

1720056385 — MARK DAVID RIEGER ATC
Practice Location Address:

810 W ANTHONY DR
URBANA, IL
61802-7431

Practice Phone: 217-383-6992
Practice Fax:

Directions to “ HOLLY ISAAC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.