Hernandez, Juan C

Hernandez, Juan C is an individual health care provider with primary practice located at 102 S Hennepin Ave , Dixon IL 61021. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hernandez, Juan C can be contacted via phone (815) 288-7711.

Contact Information

Primary practice address
102 S Hennepin Ave Dixon IL 61021
Phone: (815) 288-7711
Fax: (815) 285-8922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-112949 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-112949 Illinois

Profile Details

NPI number 1780650176
LBN Legal business name Hernandez, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Aug 22nd, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780650176 NPPES
Illinois Other 800200003 MEDICARE-KATHERINE SHAW BETHEA HOSPITAL
Illinois Other K16904 MEDICARE-KATHERINE SHAW BETHEA HOSPITAL
Illinois MEDICAID 036112949 MEDICARE-KATHERINE SHAW BETHEA HOSPITAL

Popular Providers