Individual provider Active NPI

William Hayduk, PA-C, ND

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1821363870
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005479 Issued in IL
Practice address
6457 S Pulaski Rd
Chicago, IL 60629-5148
Phone
(773) 767-2225
NPI assigned
Mar 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X
Physician Assistant 363A00000X 085005479 IL Primary

Addresses

Primary practice location

6457 S Pulaski Rd
Chicago, IL 60629-5148

Mailing address

6457 S Pulaski Rd
Chicago, IL 60629-5148

Other identifiers 1

IdentifierTypeStateIssuer
1821363870MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hayduk284252@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710002422 IL Practitioner - Physician Assistant 0648582171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rush Medical College of Rush University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Anesthesia and Pain Specialists SCGroup PAC ID 6204051899, 19 clinicians

Practice addresses (Care Compare)

1644 E 53Rd St
Chicago, IL 60615-4489
Phone (630) 985-4700

17680 Kedzie Ave
Suite 103
Hazel Crest, IL 60429-2083
Phone (708) 794-3347

2007 75TH St
Woodridge, IL 60517-2308
Phone (630) 985-4700

3545 Rose St
Franklin Park, IL 60131-2068
Phone (847) 671-0555

4354 W 63Rd St
Chicago, IL 60629-5039
Phone (773) 482-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Anesthesia and Pain Specialists SC CurrentSince Jun 11, 2015 Accepting new patients
Midwest Anesthesia and Pain Specialists, SC CurrentSince Jun 11, 2015 Accepting new patients

Locations

2923 N California Ave
Ste 210
Chicago, IL 60618
Phone (773) 348-6876

4354 W 63rd St
Chicago, IL 60629
Phone (773) 482-5800

6457 S Pulaski Rd
Chicago, IL 60629
Phone (773) 717-5115

1644 E 53rd St
Chicago, IL 60615
Phone (773) 241-6450

9700 E Golf Rd
Des Plaines, IL 60016
Phone (630) 410-7700

9680 Golf Rd
Des Plaines, IL 60016
Phone (773) 362-2917

10095 W Lincoln Hwy
Frankfort, IL 60423
Phone (630) 400-8073

3545 Rose St
Franklin Park, IL 60131
Phone (847) 671-0555

17680 Kedzie Ave
Ste 103
Hazel Crest, IL 60429
Phone (708) 799-1717

2007 75th St
Woodridge, IL 60517
Phone (630) 991-2454

9615 Keilman St
Saint John, IN 46373
Phone (219) 365-0220

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1821363870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6457 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6457 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295148",
            "telephone_number": "773-767-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDUK",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PA-C, ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-08",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821363870",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hayduk284252@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9700 Golf Road",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9700 Golf Road",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.