Provider Demographics
NPI:1255598512
Name:HERARD, ASTRID BIANCA (MD)
Entity type:Individual
Prefix:DR
First Name:ASTRID
Middle Name:BIANCA
Last Name:HERARD
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 OAKMONT PLAZA DR STE 100
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-1381
Mailing Address - Country:US
Mailing Address - Phone:630-850-2120
Mailing Address - Fax:
Practice Address - Street 1:999 OAKMONT PLAZA DR STE 100
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1381
Practice Address - Country:US
Practice Address - Phone:630-850-2120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361222632084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0360122263Medicaid