Healthcare Provider Details

I. General information

NPI: 1336059401
Provider Name (Legal Business Name): KARINA HERRERA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 REDCLIFF RD
NEW LENOX IL
60451-3556
US

IV. Provider business mailing address

941 REDCLIFF RD
NEW LENOX IL
60451-3556
US

V. Phone/Fax

Practice location:
  • Phone: 708-670-8604
  • Fax: 202-979-7120
Mailing address:
  • Phone: 708-670-8604
  • Fax: 202-979-7120

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: