Individual
GUADALUPE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5857 W 35TH ST, CICERO, IL 60804-4250
(708) 780-1464
(708) 780-1468
Mailing address
5857 W 35TH ST, CICERO, IL 60804-4250
(708) 780-1464
(708) 780-1468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041374487
IL
363L00000X
Nurse Practitioner
Primary
209011814
IL
Other
Enumeration date
08/27/2014
Last updated
03/24/2015
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