Individual
JENNIFER HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9830 BRANDT AVE, OAK LAWN, IL 60453-3029
(708) 952-4392
Mailing address
9830 BRANDT AVE, OAK LAWN, IL 60453-3029
(708) 952-4392
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00
—
IL
Enumeration date
11/11/2019
Last updated
11/11/2019
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