Active NPI
American Family Healthcare LLC
- Physician Assistant
- Danville, IL
National Provider Identifier
1598094344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 85002687
- Legal business name
- AMERICAN FAMILY HEALTHCARE LLC
- Practice address
- 715 W Fairchild St
Danville, IL 61832-3795 - Phone
- (217) 446-1100
- Fax
- (217) 446-1101
- NPI assigned
- Dec 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Julie Ann Holycross, PA-C
- Title
- Physician Assistant/Owner
- Phone
- (217) 446-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 85002687 | IL | Primary |
Addresses
Primary practice location
715 W Fairchild St
Danville, IL 61832-3795
Mailing address
715 W Fairchild St
Danville, IL 61832-3795
Phone (217) 446-1100
Other names 1
- American Family Healthcare LLC
National Provider Directory
National Provider DirectoryLocations
715 W Fairchild St
Danville, IL 61832
Phone (217) 446-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269475200000",
"number": "1598094344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 W FAIRCHILD ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618323795",
"telephone_number": "217-446-1100",
"fax_number": "217-446-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W FAIRCHILD ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "618323795",
"telephone_number": "217-446-1100",
"fax_number": "217-446-1101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN FAMILY HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-08",
"last_updated": "2010-03-25",
"status": "A",
"authorized_official_last_name": "HOLYCROSS",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT/OWNER",
"authorized_official_telephone_number": "217-446-1100",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "IL",
"license": "85002687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "American Family Healthcare LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.