Individual
MIGUEL ANGEL HERNANDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 W JOHN ST, YORKVILLE, IL 60560-9249
(630) 553-9100
Mailing address
811 W JOHN ST, YORKVILLE, IL 60560-9249
(630) 553-9100
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/06/2022
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