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Organization

ROSITA S. HERNANDEZ SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROSITA S. HERNANDEZ M.D. (PRESIDENT)
(773) 873-7800
Entity
Organization

Contact information

Practice address
6853 S HALSTED ST, CHICAGO, IL 60621-1868
(773) 873-7800
(773) 873-7800
Mailing address
6853 S HALSTED ST, CHICAGO, IL 60621-1868
(773) 873-7800
(773) 873-7800

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
11/28/2007
Last updated
07/08/2013
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