Individual
CONSTANCE JOAN HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, MPH
Contact information
Practice address
2065 HALF DAY RD, DEERFIELD, IL 60015-1241
(847) 317-6698
Mailing address
1486 QUAKER LN, PROSPECT HEIGHTS, IL 60070-1918
(224) 595-5949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041245597
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041245597
ILLINOIS NURSING LICENSE
IL
Enumeration date
10/28/2020
Last updated
10/28/2020
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