Active NPI
Horton Occupational Health
- Rehabilitation Practitioner
- South Holland, IL
National Provider Identifier
1003964735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Legal business name
- HORTON OCCUPATIONAL HEALTH
- Practice address
- 16246 Prince Dr
South Holland, IL 60473-3233 - Phone
- (708) 333-4200
- Fax
- (708) 333-8585
- NPI assigned
- Jan 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce D Horton, DO
- Title
- Owner
- Phone
- (708) 333-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
16246 Prince Dr
South Holland, IL 60473-3233
Mailing address
16246 Prince Dr
South Holland, IL 60473-3233
Phone (708) 333-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1623863 | Other | IL | BCBS PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003964735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16246 PRINCE DR",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604733233",
"telephone_number": "708-333-4200",
"fax_number": "708-333-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16246 PRINCE DR",
"city": "SOUTH HOLLAND",
"state": "IL",
"postal_code": "604733233",
"telephone_number": "708-333-4200",
"fax_number": "708-333-8585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORTON OCCUPATIONAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HORTON",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-333-4200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "1623863",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Holland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.