Individual
MRS. HAYLEY LYNN FERNANDEZ DE CORDOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Mailing address
3001 N MAIN ST, STE 1C, PRESCOTT VALLEY, AZ 86314-1215
(872) 588-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004907
IL
Other
Enumeration date
10/30/2013
Last updated
04/11/2017
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