Most Relevant Information
Provider Data
| NPI Number: | 1003223652 |
| Provider Name: | HALEY ELIZABETH VON HOLST |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/15/2014 |
| Last Updated: | 07/15/2014 |
Provider Practice Location
1845 GRANDSTAND PL
ELGIN
IL
601236603
Practice Location Phone/Fax
| Phone: | 8479319314 |
| Fax: |
Provider Mailing Location
478 W 3RD ST
ELMHURST
IL
601262552
Provider Mailing Phone/Fax
| Phone: | 6305427707 |
| Fax: |