Provider Demographics
NPI:1558421875
Name:HAWKINS, JAMES N (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:N
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:206 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-2257
Mailing Address - Country:US
Mailing Address - Phone:630-553-1633
Mailing Address - Fax:815-786-1314
Practice Address - Street 1:831 SANDHURST DR
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:IL
Practice Address - Zip Code:60548-1186
Practice Address - Country:US
Practice Address - Phone:815-786-1088
Practice Address - Fax:815-786-1314
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036083779207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036083779Medicaid
ILIL3266OtherMEDICARE PTAN
ILIL3266OtherMEDICARE PTAN