Provider Demographics
NPI:1477703908
Name:HASCHKE, FLOY S (MS, APN, CANP)
Entity Type:Individual
Prefix:MS
First Name:FLOY
Middle Name:S
Last Name:HASCHKE
Suffix:
Gender:F
Credentials:MS, APN, CANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:977 N. OAKLAWN AVENUE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126
Mailing Address - Country:US
Mailing Address - Phone:630-832-1775
Mailing Address - Fax:888-856-4648
Practice Address - Street 1:977 N. OAKLAWN AVENUE
Practice Address - Street 2:SUITE 104
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126
Practice Address - Country:US
Practice Address - Phone:630-832-1775
Practice Address - Fax:888-856-4648
Is Sole Proprietor?:No
Enumeration Date:2008-09-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-002925363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209-002925OtherSTATE LICENSE
H19725OtherUPIN
IL209-002925OtherSTATE LICENSE
H19725OtherUPIN