Organization Active NPI

Hawthorne Works Medical Imaging, LLC

  • Radiology Clinic/Center
  • Chicago, IL
National Provider Identifier
1366490021
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
HAWTHORNE WORKS MEDICAL IMAGING, LLC
Practice address
4701 W Cermak Rd
Chicago, IL 60804-2508
Phone
(847) 213-2700
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven Goldin, M.D.
Title
Director
Phone
(847) 213-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

4701 W Cermak Rd
Chicago, IL 60804-2508

Mailing address

4701 W Cermak Rd
Chicago, IL 60804-2508

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4701 W Cermak Rd
Cicero, IL 60804
Phone (708) 391-8300

8930 Waukegan Rd
Ste 210
Morton Grove, IL 60053

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366490021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "608042508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "608042508",
            "telephone_number": "847-213-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE WORKS MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-213-2700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.