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General NPI Number Information
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NPI Number | 1144192089
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Entity Type | Individual
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Provider Name | ADAM L HAYES
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Gender | Male
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Dates
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Enumeration Date | 09/20/2025
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 808 S ELDORADO RD STE 400
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City | BLOOMINGTON
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State | IL
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Zip | 61704-6068
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Country | US
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Telephone | 309-585-0241
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Fax |
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Provider Business Mailing Address
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Address Line | 3981 N NORTHBROOK DR
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City | DECATUR
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State | IL
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Zip | 62526-1256
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Country | US
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Telephone | 815-272-8144
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209032916
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License Number State | IL
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