IndividualActive
Brett Herzog, MD PHD
NPI 1023499282 · Medical Oncology Physician · Shiloh, IL
Provider details
- NPI number
- 1023499282
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 036153509 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1418 Cross St
Div Im Medical Oncology, Ste 180
Shiloh, IL 62269-2914
Phone: (618) 607-1340
Fax: (618) 622-9724
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7412011
Chicago, IL 60674-2011
Registry dates
- Enumerated
- 2015-06-13
- Last updated
- 2025-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.