Individual
MARTHA L. HERZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
1420 W HIGHLAND AVE, CHICAGO, IL 60660-1318
(773) 316-2349
Mailing address
1420 W HIGHLAND AVE, CHICAGO, IL 60660-1318
(773) 316-2349
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
IL
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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