Individual
ALLA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1621 S CICERO AVE, CICERO, IL 60804-1520
(708) 652-1621
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023026
IL
Other
Enumeration date
04/20/2017
Last updated
08/10/2017
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