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NPI Code Detail

MEDICARE: TAREN KENDRICK HAYS APN

MEDICARE: TAREN KENDRICK HAYS APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse041463678IL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner209031244IL

General Provider Information

NPI Number : 1215760483
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAREN KENDRICK HAYS APN
Provider Business Mailing Address
First Line : 3209 N LAKEWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-3215
Country : US
Telephone Number : 872-274-4344
Fax Number : 866-671-9991
Provider Business Practice Location Address
First Line : 3209 N LAKEWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-3215
Country : US
Telephone Number : 872-274-4344
Fax Number : 866-671-9991
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2024
Last Update Date : 12/11/2025

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