Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036084446 | IL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 036084446 | IL |
NPI | 1144202748 |
---|---|
Provider Name | Dr. Richard J Hayek |
First Address | Chicago, IL 60631-3745 |
Second Address | Chicago, IL 60631-3745 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 07/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036084446 | (05) | IL |
L50238 | (02) | IL |