Herman, David E

Herman, David E is an individual health care provider with primary practice located at 543 Orchard St , Antioch IL 60002-3107. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Herman, David E can be contacted via phone (847) 395-3322.

Contact Information

Primary practice address
543 Orchard St Antioch IL 60002-3107
Fax: (847) 395-0921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036059251 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33173020 Wisconsin

Profile Details

NPI number 1053304857
LBN Legal business name Herman, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Mar 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053304857 NPPES
Illinois MEDICAID 036059511

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