RONALD HOLT M.D.
NPI 1295718781
Emergency Medicine - Emergency Medical Services in Evergreen Park, IL

Active since November 29, 2005
2800 W 95TH ST, EVERGREEN PARK, IL 60805(708) 422-4221(708) 422-4415 Get Directions Write a Review

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ronald Holt M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONALD HOLT M.D. (NPI 1295718781) is an individual emergency medical services provider in Evergreen Park, Illinois, licensed in Illinois (036066295) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1295718781
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameRONALD HOLTCredential: M.D.
Location Address2800 W 95TH STEvergreen Park, IL 60805-2746
Mailing Address2961 Two Paths DrWoodridge, IL 60517-4512 · (708) 422-4221 · Fax (708) 422-4415
Fax(708) 422-4415
Sole ProprietorYes
Enumeration DateNovember 29, 2005
Last NPPES UpdateFebruary 24, 2017
NPI 1295718781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License Licensed in IL · 036066295
Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036.066295 (IL)
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License 036066295 (IL)
2800 W 95TH ST, Evergreen Park, IL 60805

Other Identifiers 4

Medicaid036066295IL
Medicare UPINC42941IL
Other036033295IL · Blue Cross Blue Shield
Medicare ID-Type UnspecifiedK11399IL

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Pathology (Anatomic Pathology & Clinical Pathology)
2800 W 95TH ST, DEPT. OF PATHOLOGY
EVERGREEN PARK, IL 60805
Emergency Medicine (Emergency Medical Services)
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Emergency Medicine (Emergency Medical Services)
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Emergency Medicine (Emergency Medical Services)
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Emergency Medicine (Emergency Medical Services)
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Internal Medicine (Pulmonary Disease)
2800 W 95TH ST
EVERGREEN PARK, IL 60805
Internal Medicine
2800 W 95TH ST
EVERGREEN PARK, IL 60805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295718781, enumerated as an "individual" on November 29, 2005.

The provider is located at 2800 W 95TH ST EVERGREEN PARK, IL 60805 and the phone number is (708) 422-4221.

Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.