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General NPI Number Information
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NPI Number | 1902236722
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Entity Type | Organization
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Legal Business Name | HERMES HEALTH SC
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Dates
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Enumeration Date | 11/14/2013
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 7047 NORTH AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1015
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Country | US
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Telephone | 773-303-7505
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Fax | 773-309-8467
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Provider Business Mailing Address
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Address Line | 7047 NORTH AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1015
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Country | US
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Telephone | 773-303-7505
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Fax | 773-309-8467
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. NESREEN HERMES
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Credential | MD
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Telephone | 773-303-7505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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