NPI
Holly Ann Boersma
NPI 1912013269
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- ATC
- Type
- Individual
- Enumeration date
- 2006-08-21
- Last updated
- 2007-07-08
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Specialties
Licenses
- License IL
- 096.002020
Location
- Practice location
- 850 Brook Forest Ave, Ste. I
- City
- Shorewood IL
- Postal code
- 60431-8513
- Phone
- (815) 725-4919
- Fax
- (815) 725-9449
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Specialist/Technologist, Athletic Trainer providers in Shorewood, IL. 8 with this primary taxonomy in the public file.
Other NPIs in Shorewood, IL. 312 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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