Individual
JAY ANTHONY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1259 RICKERT DR STE 201, NAPERVILLE, IL 60540-8904
(630) 967-2000
(630) 961-5752
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.015905
IL
Other
Enumeration date
02/23/2024
Last updated
03/14/2024
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