Doctor Name: | DR. JANET CHARLA HERSHMAN |
NPI Number: | 1154661643 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 036.062215 |
Business Practice Address: | 1 Baxter Pkwy Deerfield, IL - 600154625 |
Business Phone Number: | 2249484560 |
Business Fax Number: | |
Mailing Address: | 61 Caribou Xing, NORTHBROOK |
State: | IL |
Postal Code: | 600621053 |
Phone Number: | 8475591496 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2013 |
NPI Last Update Date: | 02/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036.062215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |