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General NPI Number Information
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NPI Number | 1891607594
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Entity Type | Organization
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Legal Business Name | HAWK PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 15040 S RAVINIA AVE STE 43
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City | ORLAND PARK
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State | IL
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Zip | 60462-3173
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Country | US
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Telephone | 708-465-7752
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Fax | 708-503-1095
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Provider Business Mailing Address
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Address Line | 15040 S RAVINIA AVE STE 43
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City | ORLAND PARK
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State | IL
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Zip | 60462-3173
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Country | US
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Telephone | 708-465-7752
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHILLIP GREGORY HAWK
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Credential | LCPC, BCBA
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Telephone | 708-465-7752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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