Richard Horndasch
Adolescent Medicine
1 Illini Dr Medical Service Plan
Peoria
, Illinois 61605-2576
Richard Horndasch
Adolescent Medicine
1 Illini Dr Medical Service Plan
Peoria
, Illinois 61605-2576
(309) 671-8503
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Richard Horndasch
- 1 Illini Dr
- Peoria, IL
- Zip : 61605-2576
- Phone : (309) 671-8503
Second Address
- Richard Horndasch
- 1 Illini Dr Medical Service Plan
- Peoria, IL
- Zip : 61605-2576
- Phone : (309) 671-8503
Reviews
FAQs
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In what state does Richard Horndasch practice in?
Where is Richard Horndasch ’s practice located?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | IL |
National Provider Identifier
| NPI | 1134198856 |
|---|---|
| Provider Name | Richard Horndasch |
| First Address | Peoria, IL 61605-2576 |
| Second Address | Peoria, IL 61605-2576 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/03/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 07215036 | BCBS (01) | IL |
| C49319 | (02) | IL |
| IL0196 | JOHN DEERE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.