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
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.