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NPI Code Detail

MEDICARE: LINDA HOLLEY APN, CNS

MEDICARE:   LINDA  HOLLEY  APN, CNS
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
1364SR0400XRehabilitation Clinical Nurse Specialist209002625IL

General Provider Information

NPI Number : 1013089697
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA HOLLEY APN, CNS
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4400 W 95TH ST STE 306
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-2659
Country : US
Telephone Number : 708-684-5428
Fax Number : 708-684-2079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 04/14/2025

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Directions to “ LINDA HOLLEY APN, CNS” Practice Location

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