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:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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