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Provider Information for 1225157092


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LISA HERMAN


Sex: Female

NPI: 1225157092
Last Updated: 2007-07-08
Certification Date:

Details

NameValue
NPI1225157092
Enumeration Date2007-03-29
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 4100 VETERANS PARKWAY
MCHENRY, IL 60050
United States

Phone: 815-685-6400 | Fax:
 
Primary Practice Address 4100 VETERANS PARKWAY
MCHENRY, IL 60050
United States

Phone: 815-685-6400 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalIL149010009