MEDICARE: DR. DONNA JEAN HAYES DPM

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
1	213E00000X	Podiatrist	SC005866	PA
2	213E00000X	Podiatrist	07001071	IN
3	213E00000X	Podiatrist	016005432	IL

General Provider Information

NPI Number	:	1225045651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA JEAN HAYES DPM

Provider Business Mailing Address
First Line	:	1455 E GOLF RD
Second Line	:	STE 110
City	:	DES PLAINES
State	:	IL
Zip	:	60016-1253
Country	:	US
Telephone Number	:	773-751-7200
Fax Number	:	773-583-4295

Provider Business Practice Location Address
First Line	:	3319 N ELSTON AVE
Second Line	:	SUITE #100
City	:	CHICAGO
State	:	IL
Zip	:	60618-5811
Country	:	US
Telephone Number	:	773-751-7200
Fax Number	:	773-583-4295

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	01/30/2017

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Directions to “ DR. DONNA JEAN HAYES DPM” Practice Location

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