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Individual
THOMAS HERNANDEZ
Active
Individual
THOMAS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-129768
IL
207XP3100X
Pediatric Orthopaedic Surgery Physician
BM6733807-R49
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036-129768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129768
—
IL
01
—
381220030
MEDICARE
IL
01
—
BM6733807-R49
TEMP RESIDENCY TRAINING #
GA
Enumeration date
05/03/2007
Last updated
11/20/2024
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