Individual
BRYAN MICHAEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
(630) 871-8990
Mailing address
1441 BRANDING AVE STE 310, DOWNERS GROVE, IL 60515-5624
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041433768
IL
363LF0000X
Family Nurse Practitioner
Primary
209-023781
IL
Other
Enumeration date
05/19/2021
Last updated
04/22/2022
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