Calla M Holmgren
Gynecologist - Maternal & Fetal Medicine
1875 Dempster St
Park Ridge
, Illinois 60068-1186
Calla M Holmgren
Gynecologist - Maternal & Fetal Medicine
1875 Dempster St
Park Ridge
, Illinois 60068-1186
(801) 585-5172
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Calla M Holmgren
- Po Box 5889
- Salt Lake City, UT
- Zip : 84158-0859
- Phone : (801) 585-5172
Second Address
- Calla M Holmgren
- 1875 Dempster St
- Park Ridge, IL
- Zip : 60068-1186
- Phone : (847) 723-8610
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Is Calla M Holmgren a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 036.110796 | IL |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 5611159-1205 | UT |
National Provider Identifier
| NPI | 1194805002 |
|---|---|
| Provider Name | Calla M Holmgren |
| First Address | Salt Lake City, UT 84158-0859 |
| Second Address | Park Ridge, IL 60068-1186 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2006 |
| Last Update Date | 15/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1194805002 | NPI (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.