Organization Active NPI

Hawthorn Physical Medicine

  • Legal Medicine
  • Vernon Hills, IL
National Provider Identifier
1992826853
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
HAWTHORN PHYSICAL MEDICINE
Practice address
977 Lakeview Pkwy
Suite 103
Vernon Hills, IL 60061-1400
Phone
(847) 932-1079
Fax
(847) 932-1082
NPI assigned
Apr 2, 2007
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
Mr. Neel Patel
Title
Clinic Director
Phone
(847) 932-1079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

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

Mailing address

977 Lakeview Pkwy
Suite 103
Vernon Hills, IL 60061-1400
Phone (847) 932-1079

National Provider Directory

National Provider Directory

Locations

977 Lakeview Pkwy
Ste 103
Vernon Hills, IL 60061
Phone (847) 220-4536

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992826853",
    "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 PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NEEL",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "847-932-1079",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.