THERESA M HERNANDEZ (NPI# 1396935755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396935755 |
| Entity Type | Individual |
| Full Name | THERESA M HERNANDEZ |
| Practice Address |
1641 N Milwaukee Ave Unit 8 Libertyville IL 60048-1350 |
| Practice Telephone | 7082780095 |
| Mailing Telephone | 7082780095 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2017-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209006199 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832890 | Theresa Hernandez | Counselor | 7561 Sun Prairie Dr, Colorado Springs, CO 80925-9567 | 2020-08-22 |
| 1619404142 | Theresa Denise Hernandez | Behavior Technician | 11547 Burbank Blvd Apt 3, North Hollywood, CA 91601-2314 | 2017-05-15 |
| Street Address |
1641 N MILWAUKEE AVE UNIT 8 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749162 | Scott C Otto | Surgery | 1641 N Milwaukee Ave, Suite 13, Libertyville, IL 60048 | 2005-09-08 |
| 1053672246 | Petra Foo | Acupuncturist | 1641 N Milwaukee Ave, #9, Libertyville, IL 60048-1350 | 2012-06-04 |
| 1770892549 | Patrice L Pohl | Psychologist | 1641 N Milwaukee Ave, Suite #7, Libertyville, IL 60048-1350 | 2010-09-28 |
| 1285865618 | Stefanie Taylor Moss | Counselor | 1641 N Milwaukee Ave, Libertyville, IL 60048-1350 | 2009-08-03 |
| 1811102932 | Wisz & Katz Enterprises PC | Dentist | 1641 N Milwaukee Ave, Ste 3, Libertyville, IL 60048-1350 | 2007-05-11 |
| 1922213065 | Alan Weisz | Dentist | 1641 N Milwaukee Ave, Ste 3, Libertyville, IL 60048-1350 | 2007-05-11 |
| 1447465588 | Carl Katz | Dentist | 1641 N Milwaukee Ave, Ste 3, Libertyville, IL 60048-1350 | 2007-05-11 |
| 1124169735 | Victoria Priola | Psychologist | 1641 N Milwaukee Ave, Libertyville, IL 60048-1350 | 2007-02-08 |
| 1184778748 | John Franklin Beltramo | Psychologist | 1641 N Milwaukee Ave, Suite 7, Libertyville, IL 60048-1350 | 2007-01-22 |
| 1902995327 | Thomas Gerald Sircher | Chiropractor | 1641 N Milwaukee Ave, Suite 16, Libertyville, IL 60048-1350 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275174252 | Shila Maninji | Nurse Practitioner | 755 S Milwaukee Ave Ste 220, Libertyville, IL 60048-3270 | 2019-10-01 |
| 1386629467 | Pamela Eckhardt | Nurse Practitioner | 1770 N Milwaukee Ave, Libertyville, IL 60048-1317 | 2005-12-12 |
| 1356957658 | Alyson Favela | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-09-22 |
| 1295235307 | Linda S Doyle | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048 | 2018-02-15 |
| 1366958878 | Lindsay Mckenzie | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2017-12-19 |
| 1730694274 | Jessica M. Kim | Nurse Practitioner | 825 S Milwaukee Ave, Libertyville, IL 60048 | 2017-12-06 |
| 1366989501 | Christina Gierer | Nurse Practitioner | 1029 W Park Ave, Libertyville, IL 60048-2550 | 2017-01-26 |
| 1881072924 | Bonnie Kaye Mitchell | Nurse Practitioner | 150 E Cook Ave, Suite 100, Libertyville, IL 60048-2060 | 2015-05-08 |
| 1790186955 | Jennifer Jensen | Nurse Practitioner | 1870 W Winchester Rd, Suite 241, Libertyville, IL 60048-5358 | 2014-09-08 |
| 1821233149 | Sandi M Motisi | Nurse Practitioner | 900 Technology Way, Suite 120, Libertyville, IL 60048-5364 | 2008-12-16 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on THERESA M HERNANDEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.