Organization
LAKEVIEW SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HAZEL HERNANDEZ DPM (N/A)
(773) 472-1882
Entity
Organization
Contact information
Practice address
2834 N LINCOLN AVE, CHICAGO, IL 60657-4202
(773) 472-1882
(773) 472-1891
Mailing address
PO BOX 577788, CHICAGO, IL 60657-7788
(773) 472-1882
(773) 472-1891
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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