Most Relevant Information
Provider Data
| NPI Number: | 1003584442 |
| Provider Name: | ERIK FERNANDEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/01/2021 |
| Last Updated: | 09/01/2021 |
Provider Practice Location
7553 BRISTOL LN UNIT 1
HANOVER PARK
IL
601337243
Practice Location Phone/Fax
| Phone: | 8479124924 |
| Fax: |
Provider Mailing Location
7553 BRISTOL LN UNIT 1
HANOVER PARK
IL
601337243
Provider Mailing Phone/Fax
| Phone: | 8479124924 |
| Fax: |