Individual
DR. JOSE M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(309) 692-9898
(309) 692-9055
Mailing address
7309 N KNOXVILLE AVE, PEORIA, IL 61614-2085
(309) 692-9898
(309) 692-9055
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
IL
Other
Enumeration date
04/14/2006
Last updated
10/11/2007
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