Individual
DR. WILLIAM HAYDUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ND
Contact information
Practice address
6457 S PULASKI RD, CHICAGO, IL 60629-5148
(773) 767-2225
Mailing address
6457 S PULASKI RD, CHICAGO, IL 60629-5148
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
—
—
363A00000X
Physician Assistant
Primary
085005479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821363870
—
IL
Enumeration date
03/08/2012
Last updated
12/30/2021
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