Individual
STEPHANIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1420 S 57TH AVE, CICERO, IL 60804-1101
(773) 949-5056
Mailing address
1420 S 57TH AVE, CICERO, IL 60804-1101
(773) 949-5056
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.009489
IL
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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