Healthcare Provider Details

I. General information

NPI: 1528256963
Provider Name (Legal Business Name): PIA HERNANDEZ FRANCISCO-NATANAUAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2007
Last Update Date: 10/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 PFINGSTEN RD SUITE 200
GLENVIEW IL
60026-1324
US

IV. Provider business mailing address

13123 E 16TH AVE B025
AURORA CO
80045-7106
US

V. Phone/Fax

Practice location:
  • Phone: 847-657-1820
  • Fax: 847-657-1823
Mailing address:
  • Phone: 720-777-6133
  • Fax: 720-777-7144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number136126013
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number49201
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: