Organization
SI HERMAN DPM LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
S I SHERMAN (OWNER)
(847) 477-1003
Entity
Organization
Contact information
Practice address
1929 W MONTROSE AVE, CHICAGO, IL 60613-1011
(847) 477-1003
Mailing address
1929 W MONTROSE AVE, CHICAGO, IL 60613-1011
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114018389
—
IL
Enumeration date
04/30/2008
Last updated
04/30/2008
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