Ortiz Hernandez, Wanda Raquel

Ortiz Hernandez, Wanda Raquel is an individual health care provider with primary practice located at 2001 Philo Rd , Urbana IL 61802-8007. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ortiz Hernandez, Wanda Raquel can be contacted via phone (217) 552-1211.

Contact Information

Primary practice address
2001 Philo Rd Urbana IL 61802-8007
Phone: (217) 552-1211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.015451 Illinois

Profile Details

NPI number 1104506393
LBN Legal business name Ortiz Hernandez, Wanda Raquel
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2023
Last updated Jul 21st, 2023 - about 3 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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