1. Home
  2. Directory
  3. Illinois
  4. Vernon Hills
  5. Preferred Provider Organization
  6. NPI Profile

HAWTHORNE PHYSICAL MEDICINE
NPI 1336175801
Preferred Provider Organization in Vernon Hills, IL

Active since June 24, 2006
977 LAKEVIEW PKWY, SUITE#103, VERNON HILLS, IL 60061(847) 932-1079(847) 932-1082 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hawthorne Physical Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAWTHORNE PHYSICAL MEDICINE (NPI 1336175801) is a healthcare organization registered as a preferred provider organization in Vernon Hills, Illinois and active in the NPI registry since June 2006. The organization lists Bradley Mattson, Owner, as its authorized official.

NPPES Registry Identity

NPI1336175801
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameHAWTHORNE PHYSICAL MEDICINE
Location Address977 LAKEVIEW PKWY, SUITE#103Vernon Hills, IL 60061-1400
Mailing Address977 Lakeview Pkwy, Suite#103Vernon Hills, IL 60061-1400 · (847) 932-1079 · Fax (847) 932-1082
Phone(847) 932-1079
Fax(847) 932-1082
Organization SubpartNo
Authorized OfficialBradley MattsonOwner · (847) 932-1079
Enumeration DateJune 24, 2006
Last NPPES UpdateJanuary 25, 2011
✔ NPI 1336175801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in IL · 042-617702
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
977 LAKEVIEW PKWY, Vernon Hills, IL 60061
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified207664IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRB COUNSELING, SC
Social Worker (Clinical)
977 LAKEVIEW PKWY, #155
VERNON HILLS, IL 60061
Lake County (847) 918-0129
JOAN AJIDE
Nurse Practitioner (Psychiatric/Mental Health)
977 LAKEVIEW PKWY
VERNON HILLS, IL 60061
Lake County (847) 367-1611
DR. CATHERINE A. ARCE PH.D.
Psychologist (Clinical)
977 LAKEVIEW PKWY, SUITE 180
VERNON HILLS, IL 60061
Lake County (847) 549-6750
DR. DANIELLA LYDIA WIEGAND PSY.D.
Psychologist (Clinical)
977 LAKEVIEW PKWY, SUITE 180
VERNON HILLS, IL 60061
Lake County (847) 549-6650
PSYCHOSOCIAL INTERVENTIONS, P.C.
Psychologist (Cognitive & Behavioral)
977 LAKEVIEW PKWY, SUITE 1008
VERNON HILLS, IL 60061
Lake County (312) 618-1921
MS. JUDITH MICHELLE SHIFFMAN LCSW
Counselor
977 LAKEVIEW PKWY, SUITE 180
VERNON HILLS, IL 60061
Lake County (847) 361-2334
MRS. MARY TRIPTI ZACHARIA P.T.
Physical Therapist
977 LAKEVIEW PKWY, STE 109
VERNON HILLS, IL 60061
Lake County (847) 932-1079
DR. RICHARD NEAL BOLNICK PSYD
Psychologist (Clinical)
977 LAKEVIEW PKWY, SUITE 110
VERNON HILLS, IL 60061
Lake County (847) 549-6650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hawthorne Physical Medicine's NPI number?

The NPI number for Hawthorne Physical Medicine is 1336175801. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Hawthorne Physical Medicine located?

Hawthorne Physical Medicine is located at 977 Lakeview Pkwy Suite#103, Vernon Hills, IL 60061. The listed phone number is (847) 932-1079.

What is Hawthorne Physical Medicine's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Hawthorne Physical Medicine was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.