Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | IL | |
N | 207NP0225X | Pediatric Dermatologist | IL | |
N | 207NS0135X | Procedural Dermatology | IL |
NPI | 1417018136 |
---|---|
Provider Name | Dr. Claudia Hernandez |
First Address | Chicago, IL 60612-7300 |
Second Address | Chicago, IL 60612-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/07/2007 |