Provider Demographics
NPI:1578926960
Name:CARLEY, EMILY HOLLINGS (DMD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:HOLLINGS
Last Name:CARLEY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:CALHOUN
Other - Last Name:HOLLINGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:561 ELDER LN
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-4103
Mailing Address - Country:US
Mailing Address - Phone:713-557-7705
Mailing Address - Fax:
Practice Address - Street 1:2300 LEHIGH AVE STE 200
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-1691
Practice Address - Country:US
Practice Address - Phone:773-930-7039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019030629122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist