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NPI Code Detail

MEDICARE: EMMA LYNN HORNBERGER

MEDICARE: EMMA LYNN HORNBERGER
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1184556425
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA LYNN HORNBERGER
Provider Business Mailing Address
First Line : 1924 N HONORE ST APT 1R
Second Line :
City : CHICAGO
State : IL
Zip : 60622-1045
Country : US
Telephone Number : 847-502-4455
Fax Number :
Provider Business Practice Location Address
First Line : 2755 N PINE GROVE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-6109
Country : US
Telephone Number : 847-502-4455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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