Hayes, Mary Jane

Hayes, Mary Jane is an sole proprietor health care provider with primary practice located at 435 Taft Ave , Glen Ellyn IL 60137-6295. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hayes, Mary Jane can be contacted via phone (630) 790-1091.

Contact Information

Primary practice address
435 Taft Ave Glen Ellyn IL 60137-6295
Phone: (630) 790-1091
Fax: (630) 790-1091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1033274386
LBN Legal business name Hayes, Mary Jane
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033274386 NPPES
Illinois Other 022-15733 BCBS #

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