IndividualActive
Ai-Xuan Holterman, M.D.
NPI 1649228032 · Pediatric Surgery Physician · Chicago, IL
Provider details
- NPI number
- 1649228032
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 01057253 (IN)
Practice location
1725 W Harrison St
Suite 818
Chicago, IL 60612-3841
Phone: (312) 942-5397
Mailing address
3926 New Vision Dr
Fort Wayne, IN 46845-1712
Registry dates
- Enumerated
- 2006-05-05
- Last updated
- 2017-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.