Individual
AARON HAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
453 S MAIN ST, BOURBONNAIS, IL 60914-1918
(815) 401-7260
(815) 401-7267
Mailing address
453 S MAIN ST, BOURBONNAIS, IL 60914-1918
(815) 401-7260
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213.000210
IL
224P00000X
Prosthetist
Primary
211.000202
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472042181001
—
IL
Enumeration date
06/20/2018
Last updated
06/20/2018
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