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Individual

CHASE W HAYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
201 E HURON ST, CHICAGO, IL 60611
(312) 694-0099
Mailing address
680 N LAKE SHORE DR STE 1000, CHICAGO, IL 60611-8709
(312) 695-6868

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085005581
IL
363AM0700X
Medical Physician Assistant
10001673A
IN

Other

Enumeration date
06/09/2014
Last updated
08/09/2018
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