Provider Demographics
NPI:1518849843
Name:HERNANDEZ, ZULMARIE (CNP)
Entity type:Individual
Prefix:
First Name:ZULMARIE
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5724 N MEADE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-6109
Mailing Address - Country:US
Mailing Address - Phone:773-318-5920
Mailing Address - Fax:
Practice Address - Street 1:2130 POINT BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-9208
Practice Address - Country:US
Practice Address - Phone:847-783-0307
Practice Address - Fax:847-783-0730
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.032823363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty