Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 36111253 | IL |
NPI | 1003011800 |
---|---|
Provider Name | Dr. Herman Blomeier |
First Address | Skokie, IL 60077-1057 |
Second Address | Skokie, IL 60077-1057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 10/02/2021 |