Hernandez, Michael

Hernandez, Michael is an individual health care provider with primary practice located at 1710 N Randall Rd Suite 200, Elgin IL 60123-4717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hernandez, Michael can be contacted via phone (847) 214-5750.

Contact Information

Primary practice address
1710 N Randall Rd Suite 200 Elgin IL 60123-4717
Phone: (847) 214-5750
Fax: (847) 214-5753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036073467 Illinois

Profile Details

NPI number 1972501096
LBN Legal business name Hernandez, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Dec 28th, 2021 - about 4 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 1972501096 NPPES
Illinois Other 04532170 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036073467 BLUE CROSS BLUE SHIELD
Illinois Other DB0387 BLUE CROSS BLUE SHIELD
Illinois Other 610033301 BLUE CROSS BLUE SHIELD
Illinois Other P00096232 BLUE CROSS BLUE SHIELD

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