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Organization

HAWTHORNE DEVELOPMENTAL AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SONYA HAWTHORNE DT (PRESIDENT)
(708) 218-1863
Entity
Organization

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
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
IL

Other

Enumeration date
05/09/2006
Last updated
04/03/2026
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