Hawthorn Medical S C

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038006727 Issued in IL

Legal business name

HAWTHORN MEDICAL S C

Practice address

977 Lakeview Pkwy
Suite 103
Vernon Hills, IL 60061-1400

Phone

(847) 932-1079

Fax

(847) 932-1082

NPI assigned

Jul 9, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Bradley R Mattson, D.C.

Title

President

Phone

(847) 932-1079

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1215166392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY",
            "address_2": "SUITE 103",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611400",
            "telephone_number": "847-932-1079",
            "fax_number": "847-932-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 LAKEVIEW PKWY",
            "address_2": "SUITE 103",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611400",
            "telephone_number": "847-932-1079",
            "fax_number": "847-932-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORN MEDICAL S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-932-1079",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038006727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan A Hartley, PT DPT
• Steven W. Hauf, D.C.
• Hawn Enterprises LLC
• Hawthorn CCSD 73
• Hawthorn Dental Associates
• Hawthorn Physical Medicine
• Hawthorn Place Outpatient Surgery Center LP
• Hawthorne Physical Medicine
• Hawthorne Psychiatric Associates, SC
• Laurie Heinemannlongfield, LPC

• Rehabilitation Chiropractor in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.