Individual provider Active NPI

Laurel Beth Holze, PA

  • Physician Assistant
  • Arlington HTS, IL
National Provider Identifier
1700924040
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
COOO2389 Issued in MD
Practice address
1415 S Arlington HTS Rd
Arlington HTS, IL 60005
Phone
(847) 439-1005
Fax
(847) 439-7555
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X COOO2389 MD Primary
Physician Assistant 363A00000X IL

Addresses

Primary practice location

1415 S Arlington HTS Rd
Arlington HTS, IL 60005

Mailing address

1415 S Arlington HTS Rd
Arlington HTS, IL 60005
Phone (847) 439-1005

Other identifiers 1

IdentifierTypeStateIssuer
PA52330OtherMDCDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090730000241 IL Practitioner - Physician Assistant 4688727134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1755 Park St
Suite 300
Naperville, IL 60563-8497
Phone (630) 416-6056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085003019ILMDPhysician Assistant
COOO2389MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy4Life LLC CurrentSince Nov 4, 2025 Accepting new patients
Naperville Clinical Associates LTD CurrentSince Jan 1, 2026 Accepting new patients
Northwest Gastroenterologists SC Past Accepting new patients
Caroline Morrison MD LTD Past Accepting new patients

Locations

1755 Park St
Ste 300
Naperville, IL 60563
Phone (630) 416-6056

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700924040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S ARLINGTON HTS RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-439-1005",
            "fax_number": "847-439-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S ARLINGTON HTS RD",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-439-1005",
            "fax_number": "847-439-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZE",
        "first_name": "LAUREL",
        "middle_name": "BETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "COOO2389",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "PA52330",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

Verify at the official NPI Registry.