Hawthorne Physical Medicine
NPI #1336175801 in Vernon Hills, Illinois
Provider Information
- NPI Number
- 1336175801
- Entity Type
- Organization
- Organization Name
- Hawthorne Physical Medicine
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jun 24, 2006
- Last Updated
- Jan 25, 2011
Practice Location
- Address
- 977 LAKEVIEW PKWY
- Address 2
- SUITE#103
- City
- Vernon Hills
- State
- Illinois
- ZIP Code
- 60061-1400
- Phone
- (847) 932-1079
Authorized Official
- Name
- BRADLEY MATTSON
- Title
- OWNER
- Phone
- (847) 932-1079
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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