Individual
DIANA M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
565 LAKEVIEW PKWY, VERNON HILLS, IL 60061-1857
(877) 468-4140
Mailing address
1640 FERRY ST, WAUKEGAN, IL 60087-2927
(224) 419-2271
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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