Provider Demographics
NPI:1386215366
Name:HASTINGS, IRIS (LPN LNHA)
Entity Type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:LPN LNHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6017 LEE AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-1732
Mailing Address - Country:US
Mailing Address - Phone:630-765-2898
Mailing Address - Fax:
Practice Address - Street 1:1270 FRANCISCAN DR
Practice Address - Street 2:
Practice Address - City:LEMONT
Practice Address - State:IL
Practice Address - Zip Code:60439-3787
Practice Address - Country:US
Practice Address - Phone:630-243-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL043116465164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse