Healthcare Provider Details

I. General information

NPI: 1851123244
Provider Name (Legal Business Name): HORIZON MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 W LAKE ST STE 101
ADDISON IL
60101-2091
US

IV. Provider business mailing address

721 W LAKE ST STE 101
ADDISON IL
60101-2091
US

V. Phone/Fax

Practice location:
  • Phone: 630-688-0315
  • Fax: 331-979-7907
Mailing address:
  • Phone: 630-688-0315
  • Fax: 331-979-7907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MANSOOR AKHTAR
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 630-688-0315