Herman, Christopher M

Herman, Christopher M is an individual health care provider with primary practice located at 2200 E Washington St , Bloomington IL 61701-4364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Herman, Christopher M can be contacted via phone (309) 661-5000.

Contact Information

Primary practice address
2200 E Washington St Bloomington IL 61701-4364
Phone: (309) 661-5000
Fax: (904) 346-0113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036115549 Illinois

Profile Details

NPI number 1588734842
LBN Legal business name Herman, Christopher M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 17th, 2011 - about 14 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 1588734842 NPPES
Illinois MEDICAID 0361155491
Illinois MEDICAID 0361155494
Illinois Other P00936469
Illinois Other P00347340

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