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Individual

DIANA P HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
7015 29TH PL, BERWYN, IL 60402-2941
(708) 829-4395
Mailing address
7015 29TH PL, BERWYN, IL 60402-2941
(708) 829-4395

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
IL

Other

Enumeration date
04/19/2023
Last updated
04/19/2023
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