Provider Demographics
NPI:1184096646
Name:HAWKINS, WHITNEY MORGAN (AUD)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:MORGAN
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1630 GATEWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:SYCAMORE
Mailing Address - State:IL
Mailing Address - Zip Code:60178
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2127 MIDLANDS CT UNIT 203
Practice Address - Street 2:
Practice Address - City:SYCAMORE
Practice Address - State:IL
Practice Address - Zip Code:60178-3173
Practice Address - Country:US
Practice Address - Phone:815-758-8106
Practice Address - Fax:815-758-8108
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001548231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist