MEDICARE: SHARON L. HORTON, MD, PC

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	207ND0101X	MOHS-Micrographic Surgery Physician	036086692	IL
2	207N00000X	Dermatology Physician	036086692	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	070017167	OTHER	IL	RAILROAD MEDICARE
2	201316	OTHER	IL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	04532023	OTHER		BC/BS

General Provider Information

NPI Number	:	1962525154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON L. HORTON, MD, PC

Provider Business Mailing Address
First Line	:	1049 E WILSON ST STE 190
Second Line	:
City	:	BATAVIA
State	:	IL
Zip	:	60510-2478
Country	:	US
Telephone Number	:	630-482-3700
Fax Number	:	630-761-8724

Provider Business Practice Location Address
First Line	:	1049 E WILSON ST
Second Line	:	STE. 190
City	:	BATAVIA
State	:	IL
Zip	:	60510-2474
Country	:	US
Telephone Number	:	630-482-3700
Fax Number	:	630-761-8724

Authorized Official
Title or Position	:	BILLING DEPARTMENT SUPERVISOR
Name	:	DARBY A NICHOLS
Credential	:
Telephone Number	:	630-482-3700

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	03/12/2026

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