Hernandez, Maria Dolores

Hernandez, Maria Dolores is an sole proprietor health care provider with primary practice located at 1120 N Melvin St , Gibson City IL 60936-1477. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is her primary health care specialty. Hernandez, Maria Dolores can be contacted via phone (217) 784-2212.

Contact Information

Primary practice address
1120 N Melvin St Gibson City IL 60936-1477
Phone: (217) 784-2212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X MD-43064 Iowa
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD-43064 Iowa

Profile Details

NPI number 1891960738
LBN Legal business name Hernandez, Maria Dolores
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2008
Last updated Aug 24th, 2022 - about 4 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 1891960738 NPPES
Other 81101 TRAINING PERMIT

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