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General NPI Number Information
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NPI Number | 1982625034
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Entity Type | Organization
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Legal Business Name | FERNANDO HERNANDEZ MD SC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1725 W HARRISON ST SUITE 843
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City | CHICAGO
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State | IL
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Zip | 60612-3841
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Country | US
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Telephone | 312-942-2356
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Fax | 312-942-5313
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Provider Business Mailing Address
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Address Line | 1725 W HARRISON ST STE 843
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City | CHICAGO
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State | IL
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Zip | 60612-3866
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Country | US
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Telephone | 312-942-2356
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Fax | 312-942-5313
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Authorized Official
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Title or Position | PHYSICIAN / OWNER
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Name | DR. FERNANDO HERNANDEZ
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Credential | M.D.
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Telephone | 312-942-2356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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