Hernandez, Jennifer

Hernandez, Jennifer is an sole proprietor health care provider with primary practice located at 9830 Brandt Ave , Oak Lawn IL 60453-3029. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Hernandez, Jennifer can be contacted via phone (708) 952-4392.

Contact Information

Primary practice address
9830 Brandt Ave Oak Lawn IL 60453-3029
Phone: (708) 952-4392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1417592775
LBN Legal business name Hernandez, Jennifer
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2019
Last updated Nov 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417592775 NPPES
Illinois MEDICAID 00

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