institution
Graciela E. Hernandez Medical Corporation P C
Mental Health Clinic/Center (Including Community Mental Health Center) in East Chicago, Indiana
NPI 1417250606

Graciela E. Hernandez Medical Corporation P C is a Mental Health Clinic/Center (Including Community Mental Health Center) based in East Chicago, IN and is specialized in Mental Health (Including Community Mental Health Center). Graciela E. Hernandez Medical Corporation P C practices in East Chicago, IN. The NPI Number for Graciela E. Hernandez Medical Corporation P C is 1417250606 and holds a License No. 011029949 (Indiana).

The current practice location address for Graciela E. Hernandez Medical Corporation P C is 4320 Fir Street, East Chicago, IN and can be reached out via phone at 219-397-2929 and via fax at 219-397-2929. You can also correspond with Graciela E. Hernandez Medical Corporation P C through the mailing address at 4320 FIR STREET, EAST CHICAGO, IN - 46312-3076 (mailing address contact number: 219-397-2929).

Location: 4320 Fir Street, East Chicago, IN, 46312-3076
institution
Provider Profile Details
NPI Number
1417250606
Provider Name
Graciela E. Hernandez Medical Corporation P C
Credential
Provider Entity Type
Organization
Address
4320 Fir Street, East Chicago, IN, 46312-3076
Phone Number
219-397-2929
Fax Number
219-397-2929
Provider Enumeration Date
12/10/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100213510A 05 IN
institution
Provider Business Practice Location Address Details
Address
4320 Fir Street
City
State
Zip
46312-3076
Phone Number
219-397-2929
Fax Number
219-397-2929
person
Provider Business Mailing Address Details
Address
4320 Fir Street
City
State
Zip
46312-3076
Phone Number
219-397-2929
Fax Number
219-397-2929
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
011029949 (Indiana)
Definition
Definition to come...
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