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Theresa M Hernandez
Family Nurse Practitioner in Libertyville, Illinois
NPI 1396935755

Theresa M Hernandez is a Family Nurse Practitioner based in Libertyville, IL and is specialized in Family. Theresa M Hernandez practices in Libertyville, IL. The NPI Number for Theresa M Hernandez is 1396935755 and holds a License No. 209006199 (Illinois).

The current practice location address for Theresa M Hernandez is 1641 N Milwaukee Ave, Libertyville, IL and can be reached out via phone at 708-278-0095.

Location: 1641 N Milwaukee Ave, Libertyville, IL, 60048-1350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396935755
Provider Name
Theresa M Hernandez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1641 N Milwaukee Ave, Libertyville, IL, 60048-1350
Phone Number
708-278-0095
Fax Number
Provider Enumeration Date
07/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1641 N Milwaukee Ave
City
Libertyville
State
Illinois
Zip
60048-1350
Phone Number
708-278-0095
Fax Number
person
Provider Business Mailing Address Details
Address
1641 N Milwaukee Ave
City
Libertyville
State
Illinois
Zip
60048-1350
Phone Number
708-278-0095
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209006199 (Illinois)
Definition
Definition to come...
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