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Individual
DR. LUKE HERMAN
Active
Individual
DR. LUKE HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036126211
IL
390200000X
Student in an Organized Health Care Education/Training Program
125053077
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
769380
MEDICARE PTAN GROUP
IL
Enumeration date
09/05/2008
Last updated
09/12/2011
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