Provider Demographics
NPI:1346516655
Name:HERMES, NESREEN (MD)
Entity Type:Individual
Prefix:DR
First Name:NESREEN
Middle Name:
Last Name:HERMES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NESREEN
Other - Middle Name:
Other - Last Name:RAMLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7047 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1015
Mailing Address - Country:US
Mailing Address - Phone:773-303-7505
Mailing Address - Fax:773-309-8467
Practice Address - Street 1:7047 NORTH AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1015
Practice Address - Country:US
Practice Address - Phone:773-303-7505
Practice Address - Fax:773-309-8467
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125061512207Q00000X
IL036136024207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036136024Medicaid