Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 35053183 | OH |
NPI | 1114930534 |
---|---|
Provider Name | Dr. Thomas Richard Hornick |
First Address | Chicago, IL 60603-2420 |
Second Address | Cleveland, OH 44105-1253 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 18/05/2020 |