Organization · NPI-2

Hawthorn Behavioral Health LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Gurnee, IL

NPI number1366768772
StatusActive
Last updated in NPPESJun 11, 2019

Details

NPI
1366768772
Entity type
Organization (NPI-2)
Legal business name
Hawthorn Behavioral Health LLC
Organization subpart
No
Enumeration date
Apr 9, 2010
Last updated
Jun 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Uzoma Okoli MD (Doing Business As)

Practice location

30 Tower Ct Ste C
Gurnee, IL 60031-3322

Phone 847-672-6478

Mailing address

Po Box 6119
Vernon Hills, IL 60061-6119

Phone 847-672-6478

Authorized official

Uzoma Okoli
Owner
8476726478

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