Provider Demographics
NPI:1912157975
Name:HAYAKAWA, BEATRIZ (CURN)
Entity type:Individual
Prefix:MRS
First Name:BEATRIZ
Middle Name:
Last Name:HAYAKAWA
Suffix:
Gender:F
Credentials:CURN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 W HARRISON ST
Mailing Address - Street 2:STE 738
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3841
Mailing Address - Country:US
Mailing Address - Phone:312-942-6440
Mailing Address - Fax:312-942-6438
Practice Address - Street 1:1725 W HARRISON ST
Practice Address - Street 2:STE 738
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3841
Practice Address - Country:US
Practice Address - Phone:312-942-6440
Practice Address - Fax:312-942-6438
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041159539163WU0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WU0100XNursing Service ProvidersRegistered NurseUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634816OtherBCBS OF ILLINOIS