Individual
AMBER L HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPE
Contact information
Practice address
1471 W IRVING PARK RD, CHICAGO, IL 60613-1991
(773) 549-3800
Mailing address
1471 W IRVING PARK RD, CHICAGO, IL 60613-1991
(773) 549-3800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/15/2021
Last updated
08/15/2021
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