Individual provider Active NPI

Nolan Stuart Horner, M.D.

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1396310058
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
036.154266 Issued in IL
Practice address
2641 W Harrison St
Chicago, IL 60612-3420
Phone
(877) 377-1188
NPI assigned
May 25, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 036.154266 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2641 W Harrison St
Chicago, IL 60612-3420

Mailing address

2641 W Harrison St
Chicago, IL 60612-3420
Phone (877) 377-1188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110001950 IL Practitioner - Orthopedic Surgery 7416346853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Orthopedics and Sports Medicine LLCGroup PAC ID 7618955808, 24 clinicians

Practice addresses (Care Compare)

1125 Westgate St
Oak Park, IL 60301-1007
Phone (630) 377-1188

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.154266ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Orthopedics & Sports Medicine LLC CurrentSince Dec 10, 2022 Accepting new patients
Genesis Orthopedics & Sports Medicine LLC Single Specialty CurrentSince Dec 10, 2022 Accepting new patients

Locations

1315 N Highland Ave
Ste 201
Aurora, IL 60506
Phone (630) 229-6708

1044 N Francisco Ave
Ste 405
Chicago, IL 60622

2641 W Harrison St
Chicago, IL 60612
Phone (708) 264-1919

4111 W 26th St
Ste 200
Chicago, IL 60623

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

200 S Greenleaf St
Ste A
Gurnee, IL 60031
Phone (847) 244-5660

2425 W 22nd St
Ste 103
Oak Brook, IL 60523
Phone (630) 571-3333

2425 W 22nd St
Ste 207A
Oak Brook, IL 60523

1 Erie Ct
Ste 7050
Oak Park, IL 60302
Phone (708) 431-7070

1125 Westgate St
Oak Park, IL 60301
Phone (708) 848-0040

4709 Golf Rd
Ste 1220
Skokie, IL 60076

2900 Foxfield Rd
Ste 102
St Charles, IL 60174
Phone (630) 209-1960

2825 Foxfield Rd
#200
St Charles, IL 60174

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1396310058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123420",
            "telephone_number": "877-377-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123420",
            "telephone_number": "877-377-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "NOLAN",
        "middle_name": "STUART",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036.154266",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.