# HAWTHORN MEDICAL S C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215166392
- **Authorized official:** MR. BRADLEY R MATTSON D.C. (PRESIDENT)
- **Authorized official phone:** (847) 932-1079

## Contact information

- **Practice address:** 977 LAKEVIEW PKWY, SUITE 103, VERNON HILLS, IL 60061-1400
- **Practice address phone:** (847) 932-1079
- **Practice address fax:** (847) 932-1082
- **Mailing address:** 977 LAKEVIEW PKWY, SUITE 103, VERNON HILLS, IL 60061-1400
- **Mailing address phone:** (847) 932-1079
- **Mailing address fax:** (847) 932-1082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 038006727 | IL | Yes |

## Other

- **Enumeration date:** 07/09/2009
- **Last updated:** 07/09/2009