Individual
CHERYL HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 NE CRESCENT AVE, PEORIA, IL 61606-1901
(309) 672-4670
Mailing address
112 NE CRESCENT AVE, PEORIA, IL 61606-1901
(309) 672-4670
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
209001420
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209001420
IL LICENSE
IL
Enumeration date
07/27/2017
Last updated
07/21/2022
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