Individual
FABIENNE REBECCA HERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD, IL 61103-3655
(815) 971-5000
Mailing address
3423 N OAKLEY AVE, CHICAGO, IL 60618-6009
(847) 571-9855
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036121754
IL
Other
Enumeration date
01/16/2009
Last updated
04/12/2021
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