TRACEE HAWTHORNE


Address: 1730 N Clark St Apt 2510, Chicago, IL 60614-5890
Phone: 7087691382

TRACEE HAWTHORNE (NPI# 1467077156) 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) 1467077156
Entity Type Individual
Full Name TRACEE HAWTHORNE
Practice Address 1730 N Clark St Apt 2510
Chicago
IL 60614-5890
Practice Telephone 7087691382
Mailing Telephone 7087691382
Enumeration Date 2020-06-09
Last Update Date 2020-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1730 N CLARK ST APT 2510
City CHICAGO
State IL
Zip Code 60614-5890

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487266516 Taylor Connington Pharmacist 843 W Armitage Ave, Chicago, IL 60614 2020-08-19
1356975692 Amarilis Diaz Social Worker Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 2020-02-25
1457902975 Michele Waggoner Physical Therapist 2515 N. Clark St, Chicago, IL 60614 2019-09-25
1669031936 Justin Pomeroy Acupuncturist 1350 W. Schubert Ave., Chicago, IL 60614 2019-06-11
1801451547 Amanda Harris Counselor 2451 N Lincoln Ave # 206, Chicago, IL 60614 2019-05-08
1780164574 Danielle Trokey Psychiatry & Neurology 2515 N Clark St Ste 801, Chicago, IL 60614 2018-08-21
1841707353 Madison Counseling Solutions LLC Social Worker 2502 N. Clark St., Chicago, IL 60614 2018-01-05
1386154011 Allison Cooper Boyan Occupational Therapist 1640 N. Wells St., Unit 103, Chicago, IL 60614 2017-10-09
1245759653 Eileen Davidson Siegel Physician Assistant 2073 N. Clybourn Ave., Chicago, IL 60614 2017-09-18
1447779814 Elizabeth Hobart Psychologist 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 2017-09-16
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477150506 Quanita Crawford Developmental Therapist 3734 W Cortland St Apt 303, Chicago, IL 60647-7565 2020-10-01
1235746975 Dominique Scott Developmental Therapist 5342 S Wells St, Chicago, IL 60609-6219 2020-09-27
1669083424 Lindsay Miner Developmental Therapist 2272 W Leland Ave # 1e, Chicago, IL 60625-2006 2020-08-13
1841818663 Lauren Lansdale Developmental Therapist 1322 S Prairie Ave Unit 1709, Chicago, IL 60605-3085 2020-07-08
1598382822 Tiffany L Lewis Developmental Therapist 1648 S Kedvale Ave, Chicago, IL 60623-2732 2020-07-02
1992322572 Brittany Hampton Developmental Therapist 25 E 123rd St, Chicago, IL 60628-6818 2020-06-30
1730705427 Emma Weitzel Developmental Therapist 3450 N Lake Shore Dr Apt 311, Chicago, IL 60657-2855 2020-06-18
1366067001 Adriane A Harris Developmental Therapist 4824 S Champlain Ave Apt 3, Chicago, IL 60615-1541 2020-06-09
1023631892 Sophia Zilles Developmental Therapist 6415 N Sheridan Rd Apt 207, Chicago, IL 60626-5301 2020-05-27
1295358182 Kenya Reed Developmental Therapist 8920 S Loomis St, Apt 116, Chicago, IL 60620 2020-05-26
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City CHICAGO
Zip Code 60614

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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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