Provider Demographics
NPI:1629016209
Name:HAWK OPERATIONS LLC
Entity type:Organization
Organization Name:HAWK OPERATIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:WALLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-678-2500
Mailing Address - Street 1:18W100 22ND ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4499
Mailing Address - Country:US
Mailing Address - Phone:630-678-2500
Mailing Address - Fax:630-678-2555
Practice Address - Street 1:18W100 22ND ST
Practice Address - Street 2:SUITE 109
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-4499
Practice Address - Country:US
Practice Address - Phone:630-678-2500
Practice Address - Fax:630-678-2555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILAPPLIED FOR183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty