BRONTIE NICOLE HERRERA NPI 1508443201

NPI Information

NPI: 1508443201
Provider Name: BRONTIE NICOLE HERRERA
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
4220 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 684-5341
Get Directions

Brontie Nicole Herrera is a pediatrics in Oak Lawn, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Brontie Nicole Herrera NPI is 1508443201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4220 W 95TH ST
OAK LAWN, IL
ZIP 60453-793
Phone: (708) 684-5341
Fax: (708) 684-3776

The enumeration date for this NPI number is 3/27/2021 and was last updated on 6/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		125078938	ILLINOIS	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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