Active NPI
Hawthorn Physical Medicine
- Legal Medicine
- Vernon Hills, IL
National Provider Identifier
1992826853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 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 DirectoryLocations
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.