Organization Active NPI

Horizon Medical Care,Inc.

  • Internal Medicine Physician
  • La Grange Park, IL
National Provider Identifier
1215131958
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HORIZON MEDICAL CARE,INC.
Practice address
418 Sherwood Rd
La Grange Park, IL 60526-1968
Phone
(708) 354-1546
Fax
(708) 354-1625
NPI assigned
Jun 14, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mrs. Nasreen Hamidani, M.D.NPI 1851483812
Title
Physician
Phone
(708) 354-1546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

418 Sherwood Rd
La Grange Park, IL 60526-1968

Mailing address

418 Sherwood Rd
La Grange Park, IL 60526-1968
Phone (708) 354-1546

Other identifiers 2

IdentifierTypeStateIssuer
036089626 2MedicaidIL
01633876OtherILBCBS

National Provider Directory

National Provider Directory

Locations

418 Sherwood Rd
La Grange Pk, IL 60526
Phone (708) 354-1546

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1215131958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 SHERWOOD RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261968",
            "telephone_number": "708-354-1546",
            "fax_number": "708-354-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 SHERWOOD RD",
            "city": "LA GRANGE PARK",
            "state": "IL",
            "postal_code": "605261968",
            "telephone_number": "708-354-1546",
            "fax_number": "708-354-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON MEDICAL CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "HAMIDANI",
        "authorized_official_first_name": "NASREEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-354-1546",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089626  2",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01633876",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grange Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.