Individual
MRS. SONYA D HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
21141 GOVERNORS HWY, PMB 1073 SUITE 114, MATTESON, IL 60443-3818
(708) 218-1863
(708) 418-3913
Mailing address
21141 GOVERNORS HWY, PMB 1073 SUITE 114, MATTESON, IL 60443-3818
(708) 218-1863
(708) 418-3913
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
SH77250900P
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364457327
DT CERTIFICATION
IL
Enumeration date
05/17/2007
Last updated
04/03/2026
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