Mark J Holterman
Pediatric Surgery
1725 W Harrison St Suite 818
Chicago
, Illinois 60612-3841
Mark J Holterman
Pediatric Surgery
1725 W Harrison St Suite 818
Chicago
, Illinois 60612-3841
(312) 942-5397
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Mark J Holterman
- 1725 W Harrison St Suite 818
- Chicago, IL
- Zip : 60612-3841
- Phone : (312) 942-5397
Second Address
- Mark J Holterman
- 1725 W Harrison St Suite 818
- Chicago, IL
- Zip : 60612-3841
- Phone : (312) 942-5397
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | IL |
National Provider Identifier
| NPI | 1033168273 |
|---|---|
| Provider Name | Mark J Holterman |
| First Address | Chicago, IL 60612-3841 |
| Second Address | Chicago, IL 60612-3841 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F87470 | (02) | 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.