Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hawthorne Physical Medicine

Organization Preferred Provider Organization · NPI 1336175801

Hawthorne Physical Medicine is a Preferred Provider Organization in Vernon Hills, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

977 Lakeview Pkwy SUITE#103
Vernon Hills, IL 60061-1400
Phone: (847) 932-1079
Fax: (847) 932-1082
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 042-617702 (IL)

Record details

NPI number1336175801
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Mattson — Owner · (847) 932-1079
NPI enumeratedJune 24, 2006
Last updated in NPPESJanuary 25, 2011
Mailing address977 Lakeview Pkwy, Suite#103, Vernon Hills, IL 60061-1400

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