MR. NATHAN DOUGLAS HOLLIDAY


Address: 3131 Lake Ave Unit C, Wilmette, IL 60091-1115
Phone: 2245291928

MR. NATHAN DOUGLAS HOLLIDAY (NPI# 1407464936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407464936
Entity Type Individual
Full Name MR. NATHAN DOUGLAS HOLLIDAY
Credential MS, FNP-BC
Practice Address 3131 Lake Ave Unit C
Wilmette
IL 60091-1115
Practice Telephone 2245291928
Mailing Telephone 2245291928
Enumeration Date 2020-07-21
Last Update Date 2020-07-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.021663 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3131 LAKE AVE UNIT C
City WILMETTE
State IL
Zip Code 60091-1115

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1720365117 Anna Kielar Pharmacist 811 Greenbay Rd, Wilmette, IL 60091 2011-11-14
1306128368 Victoriya Kharon Pharmacist 811 Greenbay Road, Wilmette, IL 60091 2011-09-15
1154626653 Mary Jo Schmitz Physical Therapist 3330 Old Glenview Rd., Suite 4, Wilmette, IL 60091 2011-01-14
1053622522 Stephanie Lynn Kutzen Social Worker 1925 Lake Avenue, Suite 305, Wilmette, IL 60091 2010-06-29
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407201270 Heather Johnstone Nurse Practitioner 3822 Lake Ave, Lake Ave., Wilmette, IL 60091-1019 2016-04-29
1679801138 E. Holly Nelson-johnson Nurse Practitioner 1808 Wilmette Ave, Wilmette, IL 60091-2429 2009-11-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538760277 Jennifer Michelle Kennedy Nurse Practitioner 3006 Lakeview Dr, Metropolis, IL 62960-3119 2020-11-07
1881295541 Britney Julia Durst Nurse Practitioner 5905 N Prospect Rd, Peoria, IL 61614-4311 2020-11-07
1952902884 Julia Ann Gottschalk Nurse Practitioner 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 2020-11-06
1932700911 Laura Ivette Portillo Nurse Practitioner 2727 N Marmora Ave, Chicago, IL 60639-1219 2020-11-05
1265033385 Carolle M Derradji Nurse Practitioner 3256 W Potomac Ave, Chicago, IL 60651-2411 2020-11-04
1104427293 Katie Michelle O'halloran Nurse Practitioner 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 2020-11-04
1598365140 Caitlyn Windsor Nurse Practitioner 24525 Grange Rd, Geneseo, IL 61254-8429 2020-10-31
1578163515 Deanna Bassette Nurse Practitioner 243 E 31st St Apt 401, Chicago, IL 60616-5212 2020-10-29
1891395745 Vrunda Shah Patel Nurse Practitioner 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 2020-10-29
1346840337 Catherine Suh Nurse Practitioner 1380 Marcy Ln, Wheeling, IL 60090-4422 2020-10-28
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Competitor

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City WILMETTE
Zip Code 60091

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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