Dr. George B. Holmes
Foot and Ankle Orthopaedic Surgeon
1611 W. Harrison Suite 400
Chicago
, Illinois 60612
Dr. George B. Holmes
Foot and Ankle Orthopaedic Surgeon
1611 W. Harrison Suite 400
Chicago
, Illinois 60612
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About
Features
Specialties
- Foot and Ankle Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. George B. Holmes
- 1 Westbrook Corporate Ctr #240
- Westchester, IL
- Zip : 60154-5701
- Phone :
Second Address
- Dr. George B. Holmes
- 1611 W. Harrison Suite 400
- Chicago, IL
- Zip : 60612
- Fax : (312) 986-0105
- Phone : (312) 431-3400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 036084263 | IL |
National Provider Identifier
| NPI | 1568441327 |
|---|---|
| Provider Name | Dr. George B. Holmes |
| First Address | Westchester, IL 60154-5701 |
| Second Address | Chicago, IL 60612 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 18/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036084263 | (05) | IL |
| 1633878 | BCBS ILLINOIS (01) | IL |
| 207067 | MEDICARE PTAN LOCALITY #16 (01) | IL |
| 207073 | MEDICARE PTAN LOCALITY #15 (01) | IL |
| 4408127 | AETNA (01) | |
| A53311 | (02) | IL |
| DA4902 | RR MEDICARE PTAN NUMBER (01) | IL |
| P00239374 | RR MEDICARE PROVIDER NUMBER (01) | IL |
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.