Active NPI
Hawthorn Place Outpatient Surgery Center LP
- Ambulatory Surgical Clinic/Center
- Vernon Hills, IL
National Provider Identifier
1730151168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- HAWTHORN PLACE OUTPATIENT SURGERY CENTER LP
- Practice address
- 240 Center Dr
Vernon Hills, IL 60061-1518 - Phone
- (847) 367-8100
- NPI assigned
- Feb 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Wadkins
- Title
- Manager of Operations
- Phone
- (847) 367-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
240 Center Dr
Vernon Hills, IL 60061-1518
Mailing address
240 Center Dr
Vernon Hills, IL 60061-1518
Phone (847) 367-8100
Other names 1
- Hawthorn Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080425000550 | IL | Part B Supplier - Ambulatory Surgical Center | 2365520673 | Practice locations: Vernon Hills, IL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Hawthorn Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0413184 | Hawthorn Surgery Center | Certificate of waiver | Oct 4, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696550400000",
"number": "1730151168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 CENTER DR",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611518",
"telephone_number": "847-367-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 CENTER DR",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611518",
"telephone_number": "847-367-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWTHORN PLACE OUTPATIENT SURGERY CENTER LP",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "WADKINS",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "MANAGER OF OPERATIONS",
"authorized_official_telephone_number": "847-367-8100"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hawthorn Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.