Individual
DEBRA J HAYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
70 MEADOWVIEW CTR, SUITE 300, KANKAKEE, IL 60901-2047
(815) 802-0022
(815) 802-0011
Mailing address
70 MEADOWVIEW CTR, SUITE 300, KANKAKEE, IL 60901-2047
(815) 802-0022
(815) 802-0011
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209-003859
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-9003859
STATE LICENSE
IL
Enumeration date
09/21/2006
Last updated
10/20/2015
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