DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RONALD HOLT M.D.

MEDICARE: RONALD HOLT M.D.
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician036066295IL
2261QM1300XMulti-Specialty Clinic/Center036066295IL
3207P00000XEmergency Medicine Physician036.066295IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036033295OTHERILBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295718781
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD HOLT M.D.
Provider Business Mailing Address
First Line : 2961 TWO PATHS DR
Second Line :
City : WOODRIDGE
State : IL
Zip : 60517-4512
Country : US
Telephone Number : 708-422-4221
Fax Number : 708-422-4415
Provider Business Practice Location Address
First Line : 2800 W 95TH ST
Second Line :
City : EVERGREEN PARK
State : IL
Zip : 60805-2746
Country : US
Telephone Number : 708-422-4221
Fax Number : 708-422-4415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2005
Last Update Date : 02/24/2017

Similar Medicare Providers

1770567117 — LELAND C LENAHAN III M.D.
Practice Location Address:
2800 W 95TH ST
EVERGREEN PARK, IL
60805-2746
Practice Phone: 708-422-4221
Practice Fax: 708-422-4415
1598768780 — LITTLE COMPANY OF MARY HOSPITAL INC
Practice Location Address:
2800 W 95TH ST
EVERGREEN PARK, IL
60805-2746
Practice Phone: 708-422-6200
Practice Fax: 708-499-8510
1821071374 — JOE EGGEBEEN M.D.
Practice Location Address:
2800 W 95TH ST
EVERGREEN PARK, IL
60805-2746
Practice Phone: 708-422-4221
Practice Fax: 708-422-4415
1275516767 — PENNY HUTCHINSON M.D.
Practice Location Address:
2800 W 95TH ST
EVERGREEN PARK, IL
60805-2746
Practice Phone: 708-422-4221
Practice Fax: 708-422-4415
1730162207 — MR. MATTHEW JOHN GLOWACKI D.O.
Practice Location Address:
2800 W 95TH ST
EVERGREEN PARK, IL
60805-2746
Practice Phone: 708-422-4221
Practice Fax: 708-422-4415
1366426710 — MICHAEL O'MARA D.O.
Practice Location Address:
2800 W 95TH ST
EVERGREEN PARK, IL
60805-2746
Practice Phone: 708-422-4221
Practice Fax: 708-422-4415

Directions to “ RONALD HOLT M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.