Healthcare Provider Details

I. General information

NPI: 1871606350
Provider Name (Legal Business Name): JOYE L HOLMES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

O'HARE AIRPORT,,TOUHY AND MT PROSPECT ROAD GEM BUILDING, FIRST FLOOR,
CHICAGO IL
60666
US

IV. Provider business mailing address

2 OAK BROOK CLUB DR C104
OAK BROOK IL
60523-1345
US

V. Phone/Fax

Practice location:
  • Phone: 773-686-4192
  • Fax: 773-686-6393
Mailing address:
  • Phone: 312-231-2433
  • Fax: 630-941-8689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: