Nicole C Hernandez (NPI# 1205221439, PAC ID# 3173834611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
Nation Provider ID (NPI) | 1205221439 |
PAC ID by PECOS | 3173834611 |
Professional Enrollment ID | I20151007002217 |
Full Name | Nicole C Hernandez |
Address |
210 S Randolph St Macomb IL 61455-3828 |
Phone Number | 7346731672 |
Gender | F |
Medical School | UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH |
Graduation Year | 2013 |
Primary Specialty | CLINICAL PSYCHOLOGIST |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
210 S Randolph St, Macomb, IL 61455-3828 | 7346731672 |
Street Address |
210 S RANDOLPH ST |
City | MACOMB |
State | IL |
Zip | 61455-3828 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph William Proctor | Psychologist, Clinical | 210 S Randolph St, Macomb, IL 61455-3828 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ryan M Bruenger | Chiropractic | 1526 W Jackson St, Macomb, IL 61455-1900 | |
Michael P Bednarz | Psychiatry | Lakeview Medical and Psychiatric Healthcare LLC | 1601 W Jackson St, Suite 104, Macomb, IL 61455-1901 |
Ashley Mae Martin | Nurse Practitioner | Lakeview Medical and Psychiatric Healthcare LLC | 1601 W Jackson St, Suite 104, Macomb, IL 61455-1901 |
Thomas Jefferson Pridemore Jr. | Chiropractic | 109 S Johnson St, Macomb, IL 61455-2134 | |
Terry B Vail | Optometry | 131 S Randolph St, Macomb, IL 61455-2207 | |
Christine M Standard | Qualified Audiologist | 227 S Randolph St, Macomb, IL 61455-2209 | |
David R Culver | Optometry | 222 S Randolph St, Macomb, IL 61455-2210 | |
Gary L Sash | Chiropractic | 117 E Carroll St, Macomb, IL 61455-2222 | |
Becky J Hoelscher | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 301 E Jefferson St, Macomb, IL 61455-2312 |
Hannah L Bengtson | Optometry | Tim A Bengtson Od PC | 820 E Jackson St, Macomb, IL 61455-2412 |
Find all physicians in zip 61455 |
City | MACOMB |
Zip Code | 61455 |
Specialty | CLINICAL PSYCHOLOGIST |
City + Specialty | MACOMB + CLINICAL PSYCHOLOGIST |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.