Individual
DR. JAMES R HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1030 N CLARK ST, STE 647, CHICAGO, IL 60610-5467
(312) 291-9083
(312) 624-9183
Mailing address
4008 CHESTER DR, GLENVIEW, IL 60026-1047
(312) 291-9083
(312) 624-9183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036047483
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047483
—
IL
Enumeration date
07/07/2006
Last updated
08/19/2011
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