Provider Demographics
NPI:1578619003
Name:HAYES, MARGARET L J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:L J
Last Name:HAYES
Suffix:
Gender:F
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:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:CARTERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62918-0577
Mailing Address - Country:US
Mailing Address - Phone:618-956-9510
Mailing Address - Fax:618-985-6860
Practice Address - Street 1:3111 WILLIAMSON COUNTY PARKWAY
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959
Practice Address - Country:US
Practice Address - Phone:618-997-3647
Practice Address - Fax:618-998-1328
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0902222084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILCF3444OtherMEDICARE RAILROAD GROUP
IL036090222Medicaid
IL370966854011Medicaid
A92613Medicare UPIN
IL385540Medicare PIN
ILCF3444OtherMEDICARE RAILROAD GROUP
IL141967Medicare Oscar/Certification