Hector J. Hernandez, PA-C
Physician Assistant in Chicago, IL. Individual provider (NPI-1).
NPI number1033717954
StatusActive
Last updated in NPPESApr 2, 2024
Details
- NPI
- 1033717954
- Entity type
- Individual (NPI-1)
- Name
- Mr. Hector J. Hernandez
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 13, 2020
- Certification date
- Apr 2, 2024
- Last updated
- Apr 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085007580 | IL | Yes |
Practice location
2533 W Cermak RdChicago, IL 60608-3719
Phone 773-523-0900
Mailing address
3737 W Lawrence AveChicago, IL 60625-5746
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