ROSITA S. HERNANDEZ SC NPI 1316129638

NPI Information

NPI: 1316129638
Provider Name: ROSITA S. HERNANDEZ SC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6853 S HALSTED ST
CHICAGO, IL
ZIP 60621
Phone: (773) 873-7800
Get Directions

ROSITA S. HERNANDEZ SC is a primary care clinic center in Chicago, IL. ROSITA S. HERNANDEZ SC NPI is 1316129638. The provider is registered as an organization entity type.

The provider's business location address is:

6853 S HALSTED ST
CHICAGO, IL
ZIP 60621-868
Phone: (773) 873-7800
Fax: (773) 873-7800

The provider's authorized official is Rosita S. Hernandez .
The authorized official title is President and has the following contact phone number (773) 873-7800.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 7/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	210266	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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