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

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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