Individual
MRS. DORENE MARIA HERRMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDS
Contact information
Practice address
605 CONCORD AVE, SOUTH ELGIN, IL 60177-2311
(847) 697-1913
(847) 697-1913
Mailing address
605 CONCORD AVE, SOUTH ELGIN, IL 60177-2311
(847) 697-1913
(847) 697-1913
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
DH94180800P
IL
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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