Healthcare Provider Details
I. General information
NPI: 1235766148
Provider Name (Legal Business Name): NAHAYO ESPERANT-HILAIRE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2020
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4500 MEMORIAL DR
BELLEVILLE IL
62226-5360
US
IV. Provider business mailing address
660 MASON RIDGE CENTER DR STE 300
SAINT LOUIS MO
63141-8512
US
V. Phone/Fax
- Phone: 618-233-2220
- Fax: 618-233-2555
- Phone: 314-448-3791
- Fax: 314-996-7658
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 036167121 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: