HAWTHORNE PHYSICAL MEDICINE – Preferred Provider Organization, NPI 1336175801

HAWTHORNE PHYSICAL MEDICINE is a healthcare provider. based in Vernon hills, Illinois. specializing in Preferred Provider Organization. The organization holds a License No. 042-617702 (IL). The NPI Number for HAWTHORNE PHYSICAL MEDICINE is 1336175801

Main info

Organization
Name
HAWTHORNE PHYSICAL MEDICINE
NPI
1336175801
Phone
(847) 932-1079
Address
977 LAKEVIEW PKWY
Authorized Official
BRADLEY MATTSON OWNER
Enumeration Date
24 June 2006
Last Update Date
25 January 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for HAWTHORNE PHYSICAL MEDICINE

  • 977, Lakeview Parkway, Vernon Hills, Lake, Illinois, 60061, United States

    SUITE#103

    VERNON HILLS, IL 600611400

    Phone: (847) 932-1079

    Fax: (847) 932-1082

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60061)

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Reviews

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Frequently asked questions

What number should I use to identify HAWTHORNE PHYSICAL MEDICINE for billing?
Administrative and clinical systems typically use NPI 1336175801 for HAWTHORNE PHYSICAL MEDICINE.
Quick check: is HAWTHORNE PHYSICAL MEDICINE active?
Public NPPES data shows HAWTHORNE PHYSICAL MEDICINE with an active NPI status right now.
Which specialty label fits HAWTHORNE PHYSICAL MEDICINE?
NPPES ties HAWTHORNE PHYSICAL MEDICINE to Preferred Provider Organization in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to HAWTHORNE PHYSICAL MEDICINE?
HAWTHORNE PHYSICAL MEDICINE shows a connection to Vernon Hills, Illinois in registry-derived data.
Can I export HAWTHORNE PHYSICAL MEDICINE's record?
You can download the official NPPES record; we summarize key fields for readability.

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