Hawthorne Physical Medicine in Vernon Hills - Preferred Provider Organization
Hawthorne Physical Medicine - NPI 1336175801
Hawthorne Physical Medicine is a Preferred Provider Organization in Vernon Hills, Illinois. Hawthorne Physical Medicine practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Hawthorne Physical Medicine is 1336175801. The last update date is 2011-01-25.
Hawthorne Physical Medicine's current location address is 977 Lakeview Pkwy, Vernon Hills, Illinois. You can contact this provider via phone number 8479321079 and fax number 8479321082. The mailing address for Hawthorne Physical Medicine is 977 Lakeview Pkwy, Vernon Hills, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hawthorne Physical Medicine |
|---|---|
| Address | 977 Lakeview Pkwy, Vernon Hills, Illinois |
| Phone Number | 8479321079 |
| Fax Number | 8479321082 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mattson Bradley |
| Telephone Number | 8479321079 |
NPI Number Detail
| NPI Number | 1336175801 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2011-01-25 |
Provider Mailing Address Detail
| Address | 977 Lakeview Pkwy |
|---|---|
| City | Vernon Hills |
| State | Illinois (IL) |
| Post Code | 600611400 |
| Phone Number | 8479321079 |
| Fax Number | 8479321082 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 042-617702 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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What is the unique 10-digit identification code assigned to Hawthorne Physical Medicine by the Centers for Medicare & Medicaid Services?
The Hawthorne Physical Medicine has been issued the NPI (National Provider Identifier) 1336175801, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Hawthorne Physical Medicine?
The Hawthorne Physical Medicine is situated at 977 Lakeview Pkwy, in the city of Vernon Hills, state of IL, with the zip code 600611400.
What is the Hawthorne Physical Medicine's area of specialization and corresponding taxonomy classification?
The Hawthorne Physical Medicine's specialty field is Preferred Provider Organization, and it falls under the taxonomy code 305R00000X, which categorizes healthcare providers based on their specialties.
On what date did Hawthorne Physical Medicine receive its 1336175801 assignment from the Centers for Medicare & Medicaid Services?
The Hawthorne Physical Medicine was assigned its 1336175801 on 2006-06-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Hawthorne Physical Medicine's details last updated?
The information pertaining to the Hawthorne Physical Medicine, including its address, specialty, and other details, was most recently updated on 2011-01-25.
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