Holly Isaac, is a
Dietitian, Registered based in Watseka, Illinois. Holly Isaac is licensed to practice in Illinois (license number 164006846) and her current practice location is
200 E Fairman Ave, Watseka, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 432-7786.
NPI number for Holly Isaac is 1861015232 and her current mailing address is 200 E Fairman Ave, Watseka, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861015232.
Healthcare Provider's Profile
Full Name | Holly Isaac |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 200 E Fairman Ave, Watseka, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861015232
- Provider Enumeration Date: 05/20/2020
- Last Update Date: 10/13/2020
Medical Identifiers
Medical identifiers for Holly Isaac such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861015232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164006846 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Isaac is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Holly Isaac, 200 E Fairman Ave, Watseka, IL 60970-1644 Ph: (815) 432-7786 | Holly Isaac, 200 E Fairman Ave, Watseka, IL 60970-1644 Ph: (815) 432-7786 |
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