Individual
DANIELLE HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E CARPENTER ST BOX 43, SPRINGFIELD, IL 62769-4968
(217) 814-5187
(217) 757-6458
Mailing address
800 E CARPENTER ST BOX 43, SPRINGFIELD, IL 62769-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125081495
IL
Other
Enumeration date
05/16/2023
Last updated
08/14/2024
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