Organization
DANIEL E. HERMANSON, OD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL EDWARD HERMANSON O.D. (OPTOMETRIST)
(312) 834-5834
Entity
Organization
Contact information
Practice address
103 W HOLBROOK RD, GLENWOOD, IL 60425-1555
(708) 755-1330
Mailing address
15417 PATRICK CT, ORLAND PARK, IL 60462-3912
(312) 834-5834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010221
—
IL
Enumeration date
03/21/2014
Last updated
03/21/2014
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