Nicole Hernandez, BSW is a
Counselor based in Stone Park, Illinois. Nicole Hernandez is licensed to practice in Illinois (license number H65562089951) and her current practice location is
1819 N 34th Ave, Stone Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 574-0716.
NPI number for Nicole Hernandez is 1144766544 and her current mailing address is 1819 N 34th Ave, Stone Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144766544.
Healthcare Provider's Profile
Full Name | Nicole Hernandez |
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Gender | Female |
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Speciality | Counselor |
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Location | 1819 N 34th Ave, Stone Park, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144766544
- Provider Enumeration Date: 01/10/2017
- Last Update Date: 01/10/2017
Medical Identifiers
Medical identifiers for Nicole Hernandez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144766544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | H65562089951 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Hernandez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Hernandez, BSW 1819 N 34th Ave, Stone Park, IL 60165-1023 Ph: (773) 574-0716 | Nicole Hernandez, BSW 1819 N 34th Ave, Stone Park, IL 60165-1023 Ph: (773) 574-0716 |
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