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General NPI Number Information
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NPI Number | 1851470967
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Entity Type | Individual
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Provider Name | STEPHEN PETER HOLLAND MD
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Gender | Male
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 2 MEMORIAL DR FL 1
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City | DECATUR
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State | IL
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Zip | 62526-3950
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Country | US
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Telephone | 217-872-2930
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Fax | 217-872-2979
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Provider Business Mailing Address
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Address Line | PO BOX 19639
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9639
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Country | US
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Telephone | 217-544-8000
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Fax | 844-470-2486
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036-068571
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License Number State | IL
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