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Individual
EDITH HERGAN
Active
Individual
EDITH HERGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036082560
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
50738
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082560
—
IL
Enumeration date
03/10/2006
Last updated
04/18/2025
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