Individual
MS. DIANE S. HERMANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
8324 SKOKIE BLVD, SKOKIE, IL 60077-2545
(847) 933-0051
(847) 933-0057
Mailing address
1628 VINE AVE, PARK RIDGE, IL 60068-5473
(847) 692-5784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615939
BCBS
IL
05
—
362327294-001
—
IL
Enumeration date
08/25/2006
Last updated
07/08/2007
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