Herzog, Michael
Herzog, Michael is an individual health care provider with primary practice located at 15234 S Harlem Ave , Orland Park IL 60462-4330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Herzog, Michael can be contacted via phone (708) 633-4544.Contact Information
Primary practice address
15234 S Harlem Ave
Orland Park IL 60462-4330
Phone: (708) 633-4544
Fax: (708) 614-0607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036107343 | Illinois |
Profile Details
| NPI number | 1639197957 |
|---|---|
| LBN Legal business name | Herzog, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jan 2nd, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639197957 | NPPES |
| Illinois | MEDICAID | 036107343 |
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