Individual
ELIZABETH HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
675 N SAINT CLAIR ST, #100, CHICAGO, IL 60611-5975
(312) 926-2000
Mailing address
1110 W NEWPORT AVE APT CH, CHICAGO, IL 60657-1564
(616) 481-8414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601012287
MI
363AS0400X
Surgical Physician Assistant
Primary
—
IL
Other
Enumeration date
07/25/2011
Last updated
04/22/2024
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