Provider Demographics
NPI:1467074534
Name:HOLMES PSYCHIATRY LLC
Entity Type:Organization
Organization Name:HOLMES PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-885-8672
Mailing Address - Street 1:2027 W DIVISION ST # 144
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-9024
Mailing Address - Country:US
Mailing Address - Phone:312-772-3054
Mailing Address - Fax:267-787-2180
Practice Address - Street 1:2027 W DIVISION ST # 144
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-9024
Practice Address - Country:US
Practice Address - Phone:312-772-3054
Practice Address - Fax:267-787-2180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty