DR. HOLLY MOAK FEDOR PSY.D.
NPI 1952401945
Psychologist - Clinical in Palos Park, IL

Q: What is Holly Fedor's NPI number?

The NPI number for Holly Fedor is 1952401945. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Q: What is Holly Fedor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Holly Fedor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 22, 2006

13011 S 104TH AVE, SUITE 200, PALOS PARK, IL 60464(708) 448-3300(708) 448-6972 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Holly Moak Fedor Psy.d. NPPES

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

DR. HOLLY MOAK FEDOR PSY.D. (NPI 1952401945) is an individual clinical provider in Palos Park, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1952401945

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. HOLLY MOAK FEDORCredential: PSY.D.

Location Address13011 S 104TH AVE, SUITE 200Palos Park, IL 60464-1506

Mailing Address12034 Meadowland DrHomer Glen, IL 60491-9279 · (708) 301-4071

Phone(708) 448-3300

Fax(708) 448-6972

Sole ProprietorNo

Enumeration DateSeptember 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1952401945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

13011 S 104TH AVE, Palos Park, IL 60464

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Other Providers at the Same Location NPPES 16

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

DR. BRIAN EDWIN BAILEY D.M.D.

Dentist (General Practice)

13011 S 104TH AVE, SUITE # 209
PALOS PARK, IL 60464

Cook County (708) 974-0278

HEART CARE CENTERS OF ILLINOIS, SC

Physician Assistant

13011 S 104TH AVE
PALOS PARK, IL 60464

Cook County (708) 478-3600

ANGELA H MAHOME MD

Psychiatry & Neurology (Psychiatry)

13011 S 104TH AVE, SUITE 200
PALOS PARK, IL 60464

Cook County (708) 448-3300

PHYSIOTHERAPY ASSOCIATES INC

Clinic/Center (Physical Therapy)

13011 S 104TH AVE, SUITE 180
PALOS PARK, IL 60464

Cook County (708) 923-0991

KEMET CHIROPRACTIC & WELLNESS, S.C.

Chiropractor

13011 S 104TH AVE, 207
PALOS PARK, IL 60464

Cook County (847) 456-2417

DR. COREY L CASHEN PSY.D.

Psychologist (Clinical)

13011 S 104TH AVE, SUITE 200
PALOS PARK, IL 60464

Cook County (708) 448-3300

DR. JULIE A JOHNSON PSY.D.

Psychologist (Clinical)

13011 S 104TH AVE, SUITE 200
PALOS PARK, IL 60464

Cook County (708) 448-3300

MR. CHRISTOPHER JAMES HIGGINS PSYD

Psychologist

13011 S 104TH AVE, SUITE 200
PALOS PARK, IL 60464

Cook County (708) 448-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Fedor's NPI number?

The NPI number for Holly Fedor is 1952401945. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Holly Fedor located?

Holly Fedor practices at 13011 S 104th Ave Suite 200, Palos Park, IL 60464. The listed phone number is (708) 448-3300.

What is Holly Fedor's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Holly Fedor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.