Individual
BASIL S HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3815 HIGHLAND AVE STE G130A, DOWNERS GROVE, IL 60515-1500
(312) 609-0300
(630) 275-6075
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116747
IL
208M00000X
Hospitalist Physician
Primary
036-116747
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36116747
LICENSE
—
Enumeration date
09/19/2006
Last updated
08/25/2025
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