Provider Demographics
NPI:1346494721
Name:HAWKESWORTH, CHRISTINA
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:HAWKESWORTH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7692
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60680-7692
Mailing Address - Country:US
Mailing Address - Phone:773-574-8056
Mailing Address - Fax:773-913-2527
Practice Address - Street 1:1433 W FLOURNOY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-3205
Practice Address - Country:US
Practice Address - Phone:773-574-8056
Practice Address - Fax:773-913-2527
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist