Individual
MICHAEL ANDREW HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(224) 783-8745
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125.072128
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036.164496
IL
Other
Enumeration date
06/21/2018
Last updated
10/31/2024
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