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Individual
MR. MICHAEL HERNANDEZ
Active
Individual
MR. MICHAEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036073467
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036073467
—
IL
01
—
04532170
BLUE CROSS BLUE SHIELD
IL
01
—
610033301
DOL WORKCOMP
IL
01
—
DB0387
RAILROAD MEDICARE GROUP
IL
01
—
P00096232
RAILROAD MEDICARE
IL
Enumeration date
07/12/2005
Last updated
06/26/2025
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