Individual
DR. VASYL HEREHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637-1443
(773) 702-6760
(312) 770-3270
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
036.155475
IL
390200000X
Student in an Organized Health Care Education/Training Program
125.071809
IL
Other
Enumeration date
05/23/2018
Last updated
06/24/2021
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