Individual
ANGELA HERGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 SE 10TH AVE, ALEDO, IL 61231-3100
(309) 373-9797
Mailing address
411 SE 10TH AVE, ALEDO, IL 61231-3100
(309) 373-9797
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158631507
—
IL
Enumeration date
12/14/2017
Last updated
12/14/2017
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