Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 01061831A | IN |
Y | 204F00000X | Transplant Surgeon | 036-111345 | IL |
NPI | 1548471212 |
---|---|
Provider Name | Dr. Edward F Hollinger JR. |
First Address | Chicago, IL 60643-1627 |
Second Address | Chicago, IL 60612-3841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 29/06/2011 |