Healthcare Provider Details

I. General information

NPI: 1144201518
Provider Name (Legal Business Name): HORNER CHEN JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MORRIS HOSPITAL 150 WEST HIGH STREET
MORRIS IL
60450
US

IV. Provider business mailing address

11 N MEADOW CT
SOUTH BARRINGTON IL
60010-9529
US

V. Phone/Fax

Practice location:
  • Phone: 815-942-2932
  • Fax:
Mailing address:
  • Phone: 847-428-0148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number36148
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: