HOLLY ELIZABETH BANDUR
NPI 1245411628
Counselor - Professional in Watseka, IL
Active since November 14, 2007
About Holly Elizabeth Bandur NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY ELIZABETH BANDUR (NPI 1245411628) is an individual professional provider in Watseka, Illinois and active in the NPI registry since November 2007.
NPPES Registry Identity
NPI1245411628
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHOLLY ELIZABETH BANDUR
Location Address323 W MULBERRY STWatseka, IL 60970-1568
Mailing AddressPo Box 322Watseka, IL 60970-0322 · (815) 432-5241 · Fax (815) 432-4537
Phone(815) 432-5241
Fax(815) 432-4537
Sole ProprietorYes
Enumeration DateNovember 14, 2007
✔ NPI 1245411628 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
323 W MULBERRY ST, Watseka, IL 60970
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Social Worker (Clinical)
323 W MULBERRY ST
WATSEKA, IL 60970
WATSEKA, IL 60970
Social Worker (Clinical)
323 W MULBERRY ST
WATSEKA, IL 60970
WATSEKA, IL 60970
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245411628, enumerated as an "individual" on November 14, 2007.
The provider is located at 323 W MULBERRY ST WATSEKA, IL 60970 and the phone number is (815) 432-5241.
Counselor with taxonomy code 101YP2500X and a focus in Professional.