Organization Active NPI

Hawthorn Place Outpatient Surgery Center LP

  • Ambulatory Surgical Clinic/Center
  • Vernon Hills, IL
National Provider Identifier
1730151168
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Oct 6, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 14C0001002
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0413184Hawthorn Surgery Center240 Center Dr, Vernon Hills, IL 60061Certificate of waiverOct 4, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.