Search › Illinois › 1041C0700X
Kimberley Herzog, LISW-S
NPI 1134585441 · on the registry since 2016
Practice
- Address
- 5111 N Glen Park Place Rd
Peoria, IL 61614 - Phone
- (309) 683-5700
- Fax
- (309) 683-5752
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YM0800X
104100000X - Licence states on file
- OH, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois