Individual
JORGE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 542-2000
Mailing address
1501 S. CALIFORNIA AVE, NR7 - 140, CHICAGO, IL 60608-1732
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/17/2024
Last updated
12/17/2024
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