HAWTHORNE WORKS MEDICAL IMAGING, LLC


Address: 4701 W Cermak Rd, Chicago, IL 60804-2508
Phone: 8472132700

HAWTHORNE WORKS MEDICAL IMAGING, LLC (NPI# 1366490021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366490021
Entity Type Organization
Organization Name HAWTHORNE WORKS MEDICAL IMAGING, LLC
Practice Address 4701 W Cermak Rd
Chicago
IL 60804-2508
Practice Telephone 8472132700
Enumeration Date 2006-05-05
Last Update Date 2020-08-22
Authorized Official Name STEVEN GOLDIN (DIRECTOR)
Authorized Official Telephone 8472132700
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 4701 W CERMAK RD
City CHICAGO
State IL
Zip Code 60804-2508

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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1306873377 Pri Diagnostics, LLC. Clinic/Center 1456 Momentum Pl, Chicago, IL 60689-5314 2006-06-27
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Competitor

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City CHICAGO
Zip Code 60804

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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