Healthcare Provider Details

I. General information

NPI: 1588401244
Provider Name (Legal Business Name): ABIGAIL GRACE HOLTHAUS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3319 N ELSTON AVE
CHICAGO IL
60618-5811
US

IV. Provider business mailing address

1409 W CARROLL AVE
CHICAGO IL
60607-1105
US

V. Phone/Fax

Practice location:
  • Phone: 312-312-7525
  • Fax:
Mailing address:
  • Phone: 312-733-0883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146018434
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: