Clinton R Holaday
Clinton R Holaday is an Emergency Medicine in Springfield, Illinois. Qualified in 2013, 13 years ago. Practices with Methodist Medical Center of Illinois, a 393-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.
- Years since qualifying
- 13
- Licensed in
- IL, MO
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
319 E Madison St Ste 2DSpringfield, IL 62701-3120
Phone: (217) 508-5859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 036145002 (IL) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence 2017039564 (MO) |
| General Practice Physician | Taxonomy 208D00000X · Licence 036145002 (IL) |
Record details
| NPI number | 1477997369 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 22, 2013 |
| Last updated in NPPES | February 2, 2023 |
| Certification date | February 2, 2023 |
| Mailing address | 319 E Madison St Ste 2d, Springfield, IL 62701-3120 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Methodist Medical Center Of Illinois — 393 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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