Healthcare Provider Details

I. General information

NPI: 1124705116
Provider Name (Legal Business Name): ARTEMUS HOLGUIN-MILLS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2023
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4241 STATE HIGHWAY 14
CHRISTOPHER IL
62822-1037
US

IV. Provider business mailing address

4241 STATE HIGHWAY 14
CHRISTOPHER IL
62822-1037
US

V. Phone/Fax

Practice location:
  • Phone: 618-724-2401
  • Fax: 618-724-9257
Mailing address:
  • Phone: 618-724-2401
  • Fax: 618-724-9257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number125082814
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: