Hedayati, Hadi
Hedayati, Hadi is an individual health care provider with primary practice located at 1345 Edwards St Ste 1 , Morris IL 60450-1692. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Hedayati, Hadi can be contacted via phone (815) 942-9299.Contact Information
Primary practice address
1345 Edwards St Ste 1
Morris IL 60450-1692
Phone: (815) 942-9299
Fax: (815) 941-6431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 036048715 | Illinois |
Profile Details
| NPI number | 1720066111 |
|---|---|
| LBN Legal business name | Hedayati, Hadi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Dec 15th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720066111 | NPPES |
| Illinois | MEDICAID | 036048715-4 |
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