Provider Demographics
NPI:1588182190
Name:HAYES, DEBRA XIANGJUN (DACM, DIPL OM LAC)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:XIANGJUN
Last Name:HAYES
Suffix:
Gender:F
Credentials:DACM, DIPL OM LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:633 CHATHAM AVENUE
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-4804
Mailing Address - Country:US
Mailing Address - Phone:630-501-0457
Mailing Address - Fax:
Practice Address - Street 1:226 N WASHINGTON ST # 2
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540
Practice Address - Country:US
Practice Address - Phone:630-696-6533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-03
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198001388171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist