Provider Demographics
NPI:1407747421
Name:DEQUINA HERRERA, SHIME SARSOZA (DNP, RN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SHIME
Middle Name:SARSOZA
Last Name:DEQUINA HERRERA
Suffix:
Gender:F
Credentials:DNP, RN, PMHNP-BC
Other - Prefix:
Other - First Name:SHIME
Other - Middle Name:SARSOZA
Other - Last Name:DEQUINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1610 ARQUILLA DR
Mailing Address - Street 2:
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-1745
Mailing Address - Country:US
Mailing Address - Phone:224-217-0266
Mailing Address - Fax:224-353-0975
Practice Address - Street 1:1610 ARQUILLA DR
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-1745
Practice Address - Country:US
Practice Address - Phone:224-217-0266
Practice Address - Fax:224-353-0975
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.032690363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health