Healthcare Provider Details

I. General information

NPI: 1497666176
Provider Name (Legal Business Name): DAWN HARTWICK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6886 SALINE RIVER RD
MARION IL
62959-8420
US

IV. Provider business mailing address

17701 OLD FRANKFORT RD
WEST FRANKFORT IL
62896-7312
US

V. Phone/Fax

Practice location:
  • Phone: 217-843-0553
  • Fax:
Mailing address:
  • Phone: 618-983-9160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041296083
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: