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Individual

MR. DAVID E HERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
543 ORCHARD ST, ANTIOCH, IL 60002-3107
(847) 395-3322
(847) 395-0921
Mailing address
543 ORCHARD ST, ANTIOCH, IL 60002-3107
(847) 395-3322
(847) 395-0921

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036059251
IL
207R00000X
Internal Medicine Physician
33173020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036059511
IL
Enumeration date
08/26/2005
Last updated
03/25/2014
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