Individual
LAURA M HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1850 W ROOSEVELT RD, CHICAGO, IL 60608-1200
(312) 666-1331
Mailing address
1850 W ROOSEVELT RD, CHICAGO, IL 60608
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009365
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056009365
LICENSE
IL
Enumeration date
05/03/2011
Last updated
05/03/2011
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