Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stephanie Mora Hernandez

Individual provider Primary Care Nurse Practitioner · NPI 1104494665

Stephanie Mora Hernandez is a Nurse Practitioner in Chicago, Illinois. Graduated from Yale University School of Medicine in 2021, 5 years ago. Practices with Erie Family Health Center, Inc, a 142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Trained at
Yale University School of Medicine
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1701 W Superior St
Chicago, IL 60622-5646
Phone: (312) 666-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 209023388 (IL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209. (IL)

Record details

NPI number1104494665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address1701 W Superior St, Chicago, IL 60622-5646

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Erie Family Health Center, Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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