Provider Demographics
NPI:1407948730
Name:HAYASHI, MIKIHARU (DC)
Entity Type:Individual
Prefix:MR
First Name:MIKIHARU
Middle Name:
Last Name:HAYASHI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E GOLF RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005
Mailing Address - Country:US
Mailing Address - Phone:847-593-1794
Mailing Address - Fax:847-593-0361
Practice Address - Street 1:415 E GOLF RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005
Practice Address - Country:US
Practice Address - Phone:847-593-1794
Practice Address - Fax:847-593-0361
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008339111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U77550Medicare UPIN
IL212774Medicare ID - Type Unspecified