Hol Health Studio LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

038010281 Issued in IL

Legal business name

HOL HEALTH STUDIO LLC

Doing business as

Hol Health Studio

Practice address

1157 W 18TH St
Chicago, IL 60608-2387

Phone

(630) 242-0743

NPI assigned

Jun 12, 2018

Organization subpart

No

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

Authorized official

Name

Peng Phetchamphone, DC

Title

Provider

Phone

(312) 344-1632

Specialties & licenses 1

Addresses

Other names 1

• Hol Health Studio Doing business as

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1982197158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082387",
            "telephone_number": "312-344-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 W 18TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082387",
            "telephone_number": "630-242-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOL HEALTH STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "PHETCHAMPHONE",
        "authorized_official_first_name": "PENG",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "312-344-1632",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "038010281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hol Health Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Robert Hoium, DO
• Ashkhan Hojati
• Caroline Markey Hoke, M.D.
• Erin Lynn Hoke, PA-C
• Michael Anthony Hoks Jr.
• Megan Holbach, DT
• Kelsey Holbert
• Christopher Thomas Holbrook, M.D.
• Jaimee Susanne Holbrook, M.D.
• Briche Monique Holcomb

• Health Service Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.