Individual
DR. MICHAEL HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15234 S HARLEM AVE, ORLAND PARK, IL 60462-4330
(708) 888-8287
(708) 614-0607
Mailing address
15234 S HARLEM AVE, ORLAND PARK, IL 60462-4330
(708) 888-8287
(708) 614-0607
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036107343
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107343
—
IL
Enumeration date
07/17/2006
Last updated
04/16/2025
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