Individual provider · Type 1 NPI

Kelley Oralivia Holloway - Marshall

Foot & Ankle Surgery Podiatrist · Chicago, IL

NPI number 1942593231 Active

Practice location

2003 W Fulton St Ste 303
Chicago, IL 60612-2345

Fax (312) 243-2227

Other practice locations

  • 40 Skokie Blvd Ste 520, Northbrook, IL 60062-1601 · (847) 504-5000

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103X016005544 (IL)
Foot & Ankle Surgery Podiatrist Primary 213ES0103X07001151A (IN)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1942593231

Kelley Oralivia Holloway - Marshall's National Provider Identifier is 1942593231, issued on May 19, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Jul 6, 2022.