| Hawthorn Counseling Group | |
|
977 Lakeview Pkwy Suite 102 Vernon Hills IL 60061-1400 | |
| (847) 680-0755 | |
| (847) 573-1617 |
| Full Name | Hawthorn Counseling Group |
|---|---|
| Speciality | Psychologist |
| Location | 977 Lakeview Pkwy, Vernon Hills, Illinois |
| Authorized Official Name and Position | John David Jochem (PRESIDENT/OWNER) |
| Authorized Official Contact | 8476800755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorn Counseling Group 977 Lakeview Pkwy Suite 102 Vernon Hills IL 60061-1400 Ph: (847) 680-0755 | Hawthorn Counseling Group 977 Lakeview Pkwy Suite 102 Vernon Hills IL 60061-1400 Ph: (847) 680-0755 |
| NPI Number | 1932116035 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 02/16/2010 |
| Medicare PECOS PAC ID | 3173526092 |
|---|---|
| Medicare Enrollment ID | O20060815000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932116035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071004067 (Illinois) | Primary |
| Provider Name | John D Jochem |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376575027 PECOS PAC ID: 6901809821 Enrollment ID: I20060815000375 |
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