Organization Active NPI

Hawthorn Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gurnee, IL
National Provider Identifier
1366768772
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HAWTHORN BEHAVIORAL HEALTH LLC
Practice address
30 Tower CT Ste C
Gurnee, IL 60031-3322
Phone
(847) 672-6478
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Uzoma Okoli, MD
Title
Owner
Phone
(847) 672-6478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

30 Tower CT Ste C
Gurnee, IL 60031-3322

Mailing address

PO Box 6119
Vernon Hills, IL 60061-6119
Phone (847) 672-6478

Other names 1

  • Uzoma Okoli MD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1366768772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6119",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600616119",
            "telephone_number": "847-672-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TOWER CT STE C",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313322",
            "telephone_number": "847-672-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORN BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "OKOLI",
        "authorized_official_first_name": "UZOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-672-6478",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uzoma Okoli MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.