Provider Demographics
NPI:1366093015
Name:HAYES, ANNE M (MHS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:HAYES
Suffix:
Gender:F
Credentials:MHS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 CHATEAUGAY AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-7710
Mailing Address - Country:US
Mailing Address - Phone:708-212-1048
Mailing Address - Fax:
Practice Address - Street 1:2300 WARRENVILLE RD STE 200NE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1702
Practice Address - Country:US
Practice Address - Phone:630-719-5800
Practice Address - Fax:630-719-9857
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL03875232235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist