Healthcare Provider Details

I. General information

NPI: 1982717674
Provider Name (Legal Business Name): HAWTHORNE PSYCHIATRIC ASSOCIATES, SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 N MILWAUKEE AVE SUITE 209
VERNON HILLS IL
60061-1553
US

IV. Provider business mailing address

850 N MILWAUKEE AVE SUITE 209
VERNON HILLS IL
60061-1553
US

V. Phone/Fax

Practice location:
  • Phone: 847-247-9300
  • Fax: 847-247-9339
Mailing address:
  • Phone: 847-247-9300
  • Fax: 847-247-9339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. JULIET JEAN SPELMAN
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 847-247-9300