Individual provider · Type 1 NPI

Angie Youssef Hernandez, DPM

Student in an Organized Health Care Education/Training Program · Rockford, IL

NPI number 1962026476 Active

Practice location

5666 E State St
Rockford, IL 61108-2425

Mailing address

1490 Yellowstone Dr
Streamwood, IL 60107-4500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1962026476

Angie Youssef Hernandez, DPM's National Provider Identifier is 1962026476, issued on Jun 1, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Rockford, IL. The record was last updated on Jun 1, 2020.