Provider Demographics
NPI:1386927689
Name:HERNANDEZ, LOREEN J
Entity type:Individual
Prefix:MRS
First Name:LOREEN
Middle Name:J
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-3361
Mailing Address - Country:US
Mailing Address - Phone:224-633-1302
Mailing Address - Fax:224-333-6699
Practice Address - Street 1:445 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3361
Practice Address - Country:US
Practice Address - Phone:312-730-6064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter