Mora Hernandez, Stephanie

Mora Hernandez, Stephanie is an individual health care provider with primary practice located at 1701 W Superior St , Chicago IL 60622-5646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Mora Hernandez, Stephanie can be contacted via phone (312) 666-3494.

Contact Information

Primary practice address
1701 W Superior St Chicago IL 60622-5646
Phone: (312) 666-3494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209. Illinois
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 209023388 Illinois

Profile Details

NPI number 1104494665
LBN Legal business name Mora Hernandez, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated Aug 10th, 2021 - about 5 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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