Provider Demographics
NPI:1689735060
Name:HERNANDEZ, ELENITA GARCES (MD)
Entity type:Individual
Prefix:DR
First Name:ELENITA
Middle Name:GARCES
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:8661 N ELMORE ST
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1910
Mailing Address - Country:US
Mailing Address - Phone:847-663-9253
Mailing Address - Fax:847-663-9253
Practice Address - Street 1:111 N COUNTY FARM RD
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-3977
Practice Address - Country:US
Practice Address - Phone:630-682-7575
Practice Address - Fax:630-510-8923
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine