Hayden, Mary K

Hayden, Mary K is an individual health care provider with primary practice located at 600 S Paulina St Suite 143, Chicago IL 60612-3806. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Hayden, Mary K can be contacted via phone (312) 942-2061.

Contact Information

Primary practice address
600 S Paulina St Suite 143 Chicago IL 60612-3806
Phone: (312) 942-2061
Fax: (312) 942-2184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036080025 Illinois

Profile Details

NPI number 1730140187
LBN Legal business name Hayden, Mary K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 31st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730140187 NPPES
Illinois MEDICAID 036080025
Illinois Other 440003336

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