Guadalupe Hernandez

NPI #1699175596 in Cicero, Illinois

Provider Information

NPI Number: 1699175596
Entity Type: Individual
Name: Guadalupe Hernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Enumeration Date: Aug 27, 2014
Last Updated: Mar 24, 2015

Practice Location

Address: 5857 W 35TH ST
City: Cicero
State: Illinois
ZIP Code: 60804-4250
Phone: (708) 780-1464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary
Registered Nurse	163W00000X

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