Herman, Luke

Herman, Luke is an individual health care provider with primary practice located at 2300 N Rockton Ave , Rockford IL 61103-3619. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Herman, Luke can be contacted via phone (815) 971-2000.

Contact Information

Primary practice address
2300 N Rockton Ave Rockford IL 61103-3619
Phone: (815) 971-2000
Fax: (815) 972-1092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125053077 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036126211 Illinois

Profile Details

NPI number 1457509150
LBN Legal business name Herman, Luke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2008
Last updated Sep 12th, 2011 - about 15 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 1457509150 NPPES
Illinois Other 769380 MEDICARE PTAN GROUP

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