Individual
WILLIAM HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 W WELLINGTON AVE, SUITE 220, CHICAGO, IL 60657-4325
(773) 512-1014
Mailing address
7834 W RASCHER AVE, CHICAGO, IL 60656-1649
(773) 512-1014
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227014576
IL
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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