Individual
JORGE ALEJANDRO HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1401 S HARLEM AVE, BERWYN, IL 60402-1259
(773) 229-1414
Mailing address
1401 S HARLEM AVE, BERWYN, IL 60402-1259
(773) 229-1414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
07/19/2024
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