Provider Demographics
NPI:1548471212
Name:HOLLINGER, EDWARD F JR (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:F
Last Name:HOLLINGER
Suffix:JR
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9614 S BELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-1627
Mailing Address - Country:US
Mailing Address - Phone:773-840-4884
Mailing Address - Fax:312-942-2867
Practice Address - Street 1:1725 W HARRISON ST
Practice Address - Street 2:STE. 161, PROBLDG III
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3841
Practice Address - Country:US
Practice Address - Phone:312-942-4252
Practice Address - Fax:312-942-3055
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01061831A204F00000X
IL036-111345204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery