Provider Demographics
NPI:1932330941
Name:HAWKINS, LAINEY (MS, CCC-SLP/L)
Entity Type:Individual
Prefix:
First Name:LAINEY
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:MS, CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2933 N SHERIDAN RD
Mailing Address - Street 2:APT 308
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5965
Mailing Address - Country:US
Mailing Address - Phone:309-369-3442
Mailing Address - Fax:
Practice Address - Street 1:2933 N SHERIDAN RD
Practice Address - Street 2:APT 308
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5965
Practice Address - Country:US
Practice Address - Phone:309-369-3442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009886235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist