Healthcare Provider Details

I. General information

NPI: 1548937873
Provider Name (Legal Business Name): JANA HAYES LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W GALENA BLVD STE 107
AURORA IL
60506-3948
US

IV. Provider business mailing address

1147 BROOK FOREST AVE STE 772
SHOREWOOD IL
60404-8845
US

V. Phone/Fax

Practice location:
  • Phone: 815-712-4000
  • Fax:
Mailing address:
  • Phone: 815-712-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.041389
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: