Individual
FARHAD DANIEL HAYATGHAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 GREEN BAY RD., BLDG 133EF 3RD FLOOR - OUTPT MH CLINIC, NORTH CHICAGO, IL 60064-3048
(224) 610-3744
Mailing address
3001 GREEN BAY RD., BLDG 133EF 3RD FLOOR - OUTPT MH CLINIC, NORTH CHICAGO, IL 60064-3048
(224) 610-3744
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125068549
IL
Other
Enumeration date
09/24/2015
Last updated
10/19/2020
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