Individual provider Active NPI

Anthony J Horwitz, MD

  • Emergency Medicine Physician
  • Bannockburn, IL
National Provider Identifier
1194991398
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-070480 Issued in IL
Practice address
1815 Telegraph Rd
Bannockburn, IL 60015-1861
Phone
(847) 703-1417
Fax
(847) 940-0499
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-070480 IL Primary
Emergency Medicine Physician 207P00000X 41203-020 WI
Emergency Medicine Physician 207P00000X 4301077763 MI

Addresses

Primary practice location

1815 Telegraph Rd
Bannockburn, IL 60015-1861

Mailing address

1815 Telegraph Rd
Bannockburn, IL 60015-1861
Phone (847) 703-1417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-070480ILMDEmergency Medicine Physician
4301077763MIMDEmergency Medicine Physician
41203-020WIMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1194991398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 TELEGRAPH RD",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151861",
            "telephone_number": "847-703-1417",
            "fax_number": "847-940-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 TELEGRAPH RD",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151861",
            "telephone_number": "847-703-1417",
            "fax_number": "847-940-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORWITZ",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-070480",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "41203-020",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301077763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bannockburn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.