Provider Demographics
NPI:1144202748
Name:HAYEK, RICHARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:HAYEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7447 W TALCOTT AVENUE
Mailing Address - Street 2:SUITE 500 NORTHWEST ORTHOPAEDICS AND SPORTS MEDICINE
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3745
Mailing Address - Country:US
Mailing Address - Phone:773-631-7898
Mailing Address - Fax:773-631-3005
Practice Address - Street 1:7447 W TALCOTT AVENUE
Practice Address - Street 2:SUITE 500 NORTHWEST ORTHOPAEDIC ASSOCIATES LTD
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3745
Practice Address - Country:US
Practice Address - Phone:773-631-7898
Practice Address - Fax:773-631-3005
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036084446207XX0004X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036084446Medicaid
IL200012924OtherPTAN
IL0021604007OtherBSIL
IL1144202748OtherNPI
IL036084446Medicaid
131128300OtherUS DEPT OF LABOR
IL0242720001OtherDME
ILL50238Medicare UPIN
IL036084446Medicaid