Doctor Name: | DR. HADI HEDAYATI |
NPI Number: | 1720066111 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036048715 |
Business Practice Address: | 201 S Wabena Ave Lower Level B Minooka, IL - 604478723 |
Business Phone Number: | 8159429299 |
Business Fax Number: | 8159416431 |
Mailing Address: | 201 S Wabena Ave, Lower Level B MINOOKA |
State: | IL |
Postal Code: | 604478723 |
Phone Number: | 8159419124 |
Fax Number: | 8159419128 |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RR0500X |
License Number: | 036048715 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Rheumatology |
Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |