Healthcare Provider Details

I. General information

NPI: 1417606948
Provider Name (Legal Business Name): SEIF HAYEK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 03/01/2025
Certification Date: 03/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 S MICHIGAN AVE
CHICAGO IL
60616-2315
US

IV. Provider business mailing address

29275 W 10 MILE RD
FARMINGTON HILLS MI
48336-2817
US

V. Phone/Fax

Practice location:
  • Phone: 810-836-8242
  • Fax:
Mailing address:
  • Phone: 248-350-2722
  • Fax: 248-350-0154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: