Basic Information
| Provider Information | |||||||||
| NPI: | 1548471212 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOLLINGER | ||||||||
| FirstName: | EDWARD | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | M.D., PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9614 S BELL AVE | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606431627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7738404884 | ||||||||
| FaxNumber: | 3129422867 | ||||||||
| Practice Location | |||||||||
| Address1: | 1725 W HARRISON ST | ||||||||
| Address2: | STE. 161, PROBLDG III | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606123841 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3129424252 | ||||||||
| FaxNumber: | 3129423055 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2007 | ||||||||
| LastUpdateDate: | 06/29/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 204F00000X | 01061831A | IN | N | Allopathic & Osteopathic Physicians | Transplant Surgery | 204F00000X | 036-111345 | IL | Y | Allopathic & Osteopathic Physicians | Transplant Surgery |
No ID Information.