Individual
DR. JUSTIN HERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-9403
Mailing address
732 W BITTERSWEET PL, APT. 1204, CHICAGO, IL 60613-2480
(773) 502-1329
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036116667
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036116667
IL LICENSED PHYSICIAN
IL
Enumeration date
09/29/2006
Last updated
05/17/2012
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