Active NPI
Carissa Lee-Holmes, MD
- Pediatrics Physician
- Arlington Heights, IL
National Provider Identifier
1093764581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036110988
- Practice address
- 3323 N. Arlington Heights Rd
Suite 209
Arlington Heights, IL 60004 - Phone
- (847) 670-4545
- Fax
- (847) 670-4540
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036110988 | IL | Primary |
Addresses
Primary practice location
3323 N. Arlington Heights Rd
Suite 209
Arlington Heights, IL 60004
Mailing address
3323 N. Arlington Heights Rd
Suite 209
Arlington Heights, IL 60004
Phone (847) 670-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036110988 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Solutions SC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Arlington Heights, IL
- NPI 1962413377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1093764581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3323 N. ARLINGTON HEIGHTS RD",
"address_2": "SUITE 209",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60004",
"telephone_number": "847-670-4545",
"fax_number": "847-670-4540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3323 N. ARLINGTON HEIGHTS RD",
"address_2": "SUITE 209",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60004",
"telephone_number": "847-670-4545",
"fax_number": "847-670-4540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE-HOLMES",
"first_name": "CARISSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036110988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.