Individual
HECTOR HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
347 S GLADSTONE AVE, AURORA, IL 60506-4877
(630) 892-6431
Mailing address
453 SADLER AVE, ELGIN, IL 60120-8040
(224) 806-8402
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SBC847409594
—
IL
Enumeration date
09/07/2022
Last updated
09/07/2022
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