Individual
ALYSSA M HERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
430 PENNSYLVANIA AVE, GLEN ELLYN, IL 60137-4464
(630) 469-9200
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016761
IL
225100000X
Physical Therapist
6368
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40326600
—
WI
Enumeration date
11/16/2006
Last updated
05/26/2023
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