Provider Demographics
NPI:1598077299
Name:HOLLANDSWORTH, GREGORY ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALLEN
Last Name:HOLLANDSWORTH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:957 N PLUM GROVE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5194
Mailing Address - Country:US
Mailing Address - Phone:847-605-8835
Mailing Address - Fax:847-637-0331
Practice Address - Street 1:957 N PLUM GROVE RD
Practice Address - Street 2:SUITE A
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5194
Practice Address - Country:US
Practice Address - Phone:847-605-8835
Practice Address - Fax:847-637-0331
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011795111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor