Individual
ENRIQUE V HERRERA ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Contact information
Practice address
6201 W 95TH ST, OAK LAWN, IL 60453-3888
(708) 636-9393
Mailing address
2211 S HIGHLAND AVE APT 4C, LOMBARD, IL 60148-5349
(708) 513-1584
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
23-766
WI
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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