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Individual

MS. JUDITH A HAYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
1107 GILBERT AVE, DOWNERS GROVE, IL 60515-4627
(630) 810-1296
Mailing address
1107 GILBERT AVE, DOWNERS GROVE, IL 60515-4627
(630) 810-1296

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
070.002484
IL

Other

Enumeration date
04/01/2009
Last updated
04/01/2009
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