MEDICARE: DANIEL ALBERTO HERRERA DENT ED.S, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	180017102	IL

General Provider Information

NPI Number	:	1902579824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL ALBERTO HERRERA DENT ED.S, LCPC

Provider Business Mailing Address
First Line	:	6633 N SHERIDAN RD APT 203
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60626-4655
Country	:	US
Telephone Number	:	440-532-3985
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 N WABASH AVE STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60602-1903
Country	:	US
Telephone Number	:	440-532-3985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2021
Last Update Date	:	12/29/2025

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