Hawthorne Physical Medicine

LBN: Hawthorne Physical Medicine
Hawthorne Physical Medicine is an health care organization with primary practice located at 977 Lakeview Pkwy Suite#103, Vernon Hills IL 60061-1400. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Hawthorne Physical Medicine can be contacted via phone (847) 932-1079, or through Mattson, Bradley via phone (847) 932-1079.

Contact Information

Primary practice address
977 Lakeview Pkwy Suite#103 Vernon Hills IL 60061-1400
Phone: (847) 932-1079
Fax: (847) 932-1082
Website:
Map and Directions
Authorized official contact:
Name: Mattson, Bradley
Phone: (847) 932-1079

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 042-617702 Illinois

Profile Details

NPI number 1336175801
LBN Legal business name Hawthorne Physical Medicine
DBA Doing business as
Authorized official Mattson, Bradley
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2006
Last updated Jan 25th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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