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Organization

FERNANDO HERNANDEZ MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FERNANDO HERNANDEZ M.D. (PHYSICIAN / OWNER)
(312) 942-2356
Entity
Organization

Contact information

Practice address
1725 W HARRISON ST, SUITE 843, CHICAGO, IL 60612-3841
(312) 942-2356
(312) 942-5313
Mailing address
1725 W HARRISON ST STE 843, CHICAGO, IL 60612-3866
(312) 942-2356
(312) 942-5313

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31601998
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
07/22/2006
Last updated
08/13/2025
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