Individual provider · Type 1 NPI

Teresa Herzog

Gastroenterology Registered Nurse · Hines, IL

NPI number 1104721489 Active

Practice location

5000 S 5th Ave
Hines, IL 60141-3030

Mailing address

123 Acacia Cir Unit 514
Indian Head Park, IL 60525-9044

Specialties and licenses

TaxonomyCodeLicense
Gastroenterology Registered Nurse Primary 163WG0100X041251867 (IL)

Gastroenterology Registered Nurse: Definition to come...

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About NPI 1104721489

Teresa Herzog's National Provider Identifier is 1104721489, issued on Oct 8, 2026. The primary taxonomy on file is Gastroenterology Registered Nurse (163WG0100X), and the practice location is in Hines, IL. The record was last updated on Oct 8, 2026.