Provider Demographics
NPI:1730548330
Name:HERNANDEZ, REBEKAH RAANN (CNM)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:RAANN
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 OGDEN AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-6193
Mailing Address - Country:US
Mailing Address - Phone:630-978-4800
Mailing Address - Fax:630-978-6791
Practice Address - Street 1:2020 OGDEN AVE STE 225
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-6193
Practice Address - Country:US
Practice Address - Phone:630-978-4800
Practice Address - Fax:630-978-6791
Is Sole Proprietor?:No
Enumeration Date:2016-02-11
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.018253367A00000X
IL277001896367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife