MEDICARE: JANEL HORN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051294815	IL

General Provider Information

NPI Number	:	1114527397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANEL HORN

Provider Business Mailing Address
First Line	:	12311 S NAGLE AVE
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1723
Country	:	US
Telephone Number	:	815-703-9608
Fax Number	:

Provider Business Practice Location Address
First Line	:	4005 167TH ST
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-2070
Country	:	US
Telephone Number	:	708-647-6738
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2020
Last Update Date	:	11/07/2024

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Directions to “ JANEL HORN ” Practice Location

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