Individual provider Active NPI

Linda Holt

  • Obstetrics & Gynecology Physician
  • Skokie, IL
National Provider Identifier
1659348605
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036057408 Issued in IL
Practice address
4905 Old Orchard Ctr Ste 200
Skokie, IL 60077-1462
Phone
(847) 673-3180
NPI assigned
Mar 8, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036057408 IL Primary

Addresses

Primary practice location

4905 Old Orchard Ctr Ste 200
Skokie, IL 60077-1462

Mailing address

601 Skokie Blvd Ste 400
Northbrook, IL 60062-2820
Phone (847) 562-1410

Other practice location 1

64 Old Orchard Ctr
Suite 200
Skokie, IL 60077-1425
Phone (847) 673-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY, VT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040414000021 IL Practitioner - Obstetrics/Gynecology 8224939574 Reassigns benefits to 2 organizations
I20230726002275 NY Practitioner - Obstetrics/Gynecology 8224939574 Reassigns benefits to 1 organization
I20231117002253 VT Practitioner - Obstetrics/Gynecology 8224939574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036057408ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore New Rochelle Hospital CurrentSince Jun 11, 2023 Accepting new patients
Freeport Memorial Hospital CurrentSince Aug 22, 2020 Accepting new patients
Montefiore New Rochelle Hospital Past Accepting new patients

Locations

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

25 N Harlem Ave
Freeport, IL 61032
Phone (815) 599-7750

421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659348605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD STE 400",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622820",
            "telephone_number": "847-562-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 OLD ORCHARD CTR STE 200",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771462",
            "telephone_number": "847-673-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Old Orchard Ctr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771425",
            "country_code": "US",
            "telephone_number": "847-673-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036057408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.