Organization Active NPI

Horsefeathers

  • Developmental Disabilities Clinic/Center
  • Lake Forest, IL
National Provider Identifier
1063811149
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
056.006145 Issued in IL
Legal business name
HORSEFEATHERS
Practice address
1181 Riverwoods Rd
Lake Forest, IL 60045-3459
Phone
(847) 234-2411
Fax
(847) 905-0737
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nicholas Eb Coyne
Title
President
Phone
(847) 234-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 056.006145 IL Primary

Addresses

Primary practice location

1181 Riverwoods Rd
Lake Forest, IL 60045-3459

Mailing address

1181 Riverwoods Rd
Lake Forest, IL 60045-3459
Phone (847) 234-2411

National Provider Directory

National Provider Directory

Locations

1181 Riverwoods Rd
Lake Forest, IL 60045
Phone (847) 234-2411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1063811149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 RIVERWOODS RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453459",
            "telephone_number": "847-234-2411",
            "fax_number": "847-905-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 RIVERWOODS RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453459",
            "telephone_number": "847-234-2411",
            "fax_number": "847-905-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSEFEATHERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "EB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-234-2411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "IL",
            "license": "056.006145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.