Provider Demographics
NPI:1376872564
Name:VCA HAWTHORN ANIMAL HOSPITAL
Entity Type:Organization
Organization Name:VCA HAWTHORN ANIMAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:847-362-0780
Mailing Address - Street 1:203 ROUTE 45
Mailing Address - Street 2:
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-2348
Mailing Address - Country:US
Mailing Address - Phone:847-362-0780
Mailing Address - Fax:
Practice Address - Street 1:203 ROUTE 45
Practice Address - Street 2:
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-2348
Practice Address - Country:US
Practice Address - Phone:847-362-0780
Practice Address - Fax:847-362-0791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty