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Contact Information

GEORGE B HOLMES, MD
1611 W. HARRISON
SUITE 400
CHICAGO, IL60612
 Phone: 312-431-3400
 Fax: 312-986-0105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GEORGE B HOLMES · (Male)

NPI Number 1568441327
Status Active
Credentials MD
Entity Individual
Enumeration date 01/11/2006
Last updated 09/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036084263
  • IL Medicaid 036084263
  • Other 4408127 AETNA
  • IL Other 1633878 BCBS ILLINOIS
  • IL Other 207073 MEDICARE PTAN LOCALITY #15
  • IL Other 207067 MEDICARE PTAN LOCALITY #16
  • IL Other P00239374 RR MEDICARE PROVIDER NUMBER
  • IL Other DA4902 RR MEDICARE PTAN NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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