Hernandez, Rachel R.
Hernandez, Rachel R. is an sole proprietor health care provider with primary practice located at 4440 Lincoln Hwy Ste. 307, Matteson IL 60443-2349. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hernandez, Rachel R. can be contacted via phone (815) 509-9974.Contact Information
Primary practice address
4440 Lincoln Hwy Ste. 307
Matteson IL 60443-2349
Phone: (815) 509-9974
Fax: (815) 933-2116
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1144386913 |
|---|---|
| LBN Legal business name | Hernandez, Rachel R. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1144386913 | NPPES |
| Illinois | Other | 01633668 | BCBS PROVIDER ID NUMBER |
| Illinois | Other | 555636 | BCBS PROVIDER ID NUMBER |
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