Organization
HAWK INTELLIGENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN PAUL WINANS BCJ, MCJ, PH.D (CEO)
(309) 313-4219
Entity
Organization
Contact information
Practice address
607 COLE ST, BUSHNELL, IL 61422-1501
(309) 313-4219
Mailing address
607 COLE ST, BUSHNELL, IL 61422-1501
(309) 313-4219
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
111N00000X
Chiropractor
—
—
122300000X
Dentist
—
—
152W00000X
Optometrist
—
—
163W00000X
Registered Nurse
—
—
183500000X
Pharmacist
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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