Look up the most recent NPI and PECOS records

Holly Marie Loud

Emergency Medicine

Allopathic & Osteopathic Physicians

4201 W Medical Center Dr, Mchenry, IL 60050-8409

PECOS Enrollment

This provider is enrolled in PECOS as HOLLY LOUD.

Based on the most recent information from CMS, provider Holly Marie Loud is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1831306612
Provider Type
Individual
Full Name
Loud, Holly Marie
Title
Dr.
Credential
D.O

Gender
Female
Sole Proprietor
No
Enumeration Date
5/17/2007
Last Updated
1/31/2023

Contact Information

Practice Location

4201 W Medical Center Dr, Mchenry, IL 60050-8409

(815) 759-3100

(815) 363-9094

Mailing Location

4201 W Medical Center Dr, Mchenry, IL 60050-8409

(815) 759-3100

(815) 363-9094

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 036127057 Illinois

Provider Identifiers

ID	Description	Issuer
ID 036127057	Description Medicaid	Issuer Unlisted Illinois

Holly Marie Loud

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Farlow, Lindsey

Bhanot, Pardeep K.

Andersen, Rebecca J

Urban, Ray William

Lickerman, Matthew

Self, Hannah Yang

Bollinger, Timothy L

Banks, Peggy Schutte

Levites, Leonard

Watts, Sean