Provider Demographics
NPI:1588910053
Name:HOLMER, ELIZABETH SCHMIT (PT)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SCHMIT
Last Name:HOLMER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:CARPENTERSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60110-3355
Mailing Address - Country:US
Mailing Address - Phone:847-844-7800
Mailing Address - Fax:847-783-0628
Practice Address - Street 1:2201 RANDALL RD
Practice Address - Street 2:
Practice Address - City:CARPENTERSVILLE
Practice Address - State:IL
Practice Address - Zip Code:60110-3355
Practice Address - Country:US
Practice Address - Phone:847-844-7800
Practice Address - Fax:847-783-0628
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070002782225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist