| Organization Name: | HAWTHORN WOODS FAMILY EYE CARE INC. |
| NPI Number: | 1821397472 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AGNIESZKA STRYJECKI (PRESIDENT) |
| Mailing Address: | 60 Landover Pkwy Unit B1 Hawthorn Woods |
| State: | IL US |
| Postal Code: | 600477513 |
| Phone Number: | 7739604749 |
| Fax Number: | 8478472210 |
| NPI Enumeration Date: | 03/22/2011 |
| NPI Last Update Date: | 03/22/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 04900820001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |