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Individual

MR. MICHAEL P. HERGESHEIMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
8605 W CERMAK RD, NORTH RIVERSIDE, IL 60546-1225
(708) 447-3695
(708) 447-8733
Mailing address
8605 W CERMAK RD, NORTH RIVERSIDE, IL 60546-1225
(708) 447-3695
(708) 447-8733

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01618882
BCBS
IL
Enumeration date
11/08/2006
Last updated
07/08/2007
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