Provider Demographics
NPI:1083728000
Name:HAYS, WILLIAM F (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:HAYS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3305 LOGAN DR
Mailing Address - Street 2:
Mailing Address - City:HERRIN
Mailing Address - State:IL
Mailing Address - Zip Code:62948-3732
Mailing Address - Country:US
Mailing Address - Phone:618-997-4444
Mailing Address - Fax:618-993-1173
Practice Address - Street 1:3305 LOGAN DR
Practice Address - Street 2:
Practice Address - City:HERRIN
Practice Address - State:IL
Practice Address - Zip Code:62948-3732
Practice Address - Country:US
Practice Address - Phone:618-997-4444
Practice Address - Fax:618-993-1173
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036 056810208600000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
144880OtherHEALTH LINK
080098533OtherBCBS
010668OtherHEALTH ALLIANCE
IL143870Medicaid
10019630OtherRAILROAD MEDICARE
H10113Medicare UPIN
336570Medicare ID - Type Unspecified