Hernandez, Antonia

Hernandez, Antonia is an individual health care provider with primary practice located at 1004 Pawlak Pkwy , New Lenox IL 60451-9401. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hernandez, Antonia can be contacted via phone (815) 215-3400.

Contact Information

Primary practice address
1004 Pawlak Pkwy New Lenox IL 60451-9401
Phone: (815) 215-3400
Fax: (815) 215-3400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209019331 Illinois

Profile Details

NPI number 1154527166
LBN Legal business name Hernandez, Antonia
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Feb 19th, 2020 - about 6 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 1154527166 NPPES
New Jersey MEDICAID 1154527166

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