Individual
MANUEL HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
26575 W COMMERCE DR UNIT 506, VOLO, IL 60073-9659
(847) 740-6229
(847) 740-6447
Mailing address
26575 W COMMERCE DR UNIT 506, VOLO, IL 60073-9659
(847) 740-6229
(847) 740-6447
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
056005548
IL
174400000X
Specialist
Primary
—
IL
225XP0200X
Pediatric Occupational Therapist
056.005548
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932587
BLUE SHIELD PROVIDER NUM
IL
Enumeration date
02/28/2007
Last updated
08/04/2026
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