Individual
MARY J HERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1740 W TAYLOR ST, 801E UICH, MC 959, CHICAGO, IL 60612-7232
(312) 413-7842
(312) 413-3131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
041369996
IL
Other
Enumeration date
09/15/2006
Last updated
06/24/2008
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