Individual
ERIC FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1755 N NEVA AVE, CHICAGO, IL 60707-4316
(773) 984-9926
Mailing address
1755 N NEVA AVE, CHICAGO, IL 60707-4316
(773) 984-9926
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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