Individual provider · Type 1 NPI

Amanda Jill Holleb, PA-C

Surgical Physician Assistant · Skokie, IL

NPI number 1881315422 Active

Practice location

9650 Gross Point Rd Ste 2900
Skokie, IL 60076-5006

Call (847) 866-7846 Map

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085009239 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1881315422

Amanda Jill Holleb, PA-C's National Provider Identifier is 1881315422, issued on Sep 12, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Skokie, IL. The record was last updated on Jul 10, 2025.