Individual
CHRISTOPHER M HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 661-5000
(904) 346-0113
Mailing address
PO BOX 75478, BALTIMORE, MD 21275-5478
(866) 402-4367
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036115549
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361155491
—
IL
05
—
0361155494
—
IL
01
—
P00347340
RAILROAD MEDICARE
IL
01
—
P00936469
RRMCARE THRU CESIISC (GES)
IL
Enumeration date
11/08/2006
Last updated
08/17/2011
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