MEDICARE: DR. JOHN HAYES DNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	209033582	IL

General Provider Information

NPI Number	:	1841167699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN HAYES DNP

Provider Business Mailing Address
First Line	:	11355 S CHAMPLAIN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60628-5121
Country	:	US
Telephone Number	:	312-401-2395
Fax Number	:

Provider Business Practice Location Address
First Line	:	1127 N OAKLEY BLVD # 5A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-3507
Country	:	US
Telephone Number	:	312-401-2395
Fax Number	:

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

Provider Enumeration Date	:	10/17/2025
Last Update Date	:	05/26/2026

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