# HORTON OCCUPATIONAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003964735
- **Authorized official:** DR. BRUCE D HORTON DO (OWNER)
- **Authorized official phone:** (708) 333-4200

## Contact information

- **Practice address:** 16246 PRINCE DR, SOUTH HOLLAND, IL 60473-3233
- **Practice address phone:** (708) 333-4200
- **Practice address fax:** (708) 333-8585
- **Mailing address:** 16246 PRINCE DR, SOUTH HOLLAND, IL 60473-3233
- **Mailing address phone:** (708) 333-4200
- **Mailing address fax:** (708) 333-8585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | — | NULL | Yes |
| 225400000X | Rehabilitation Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1623863 | BCBS PROVIDER NUMBER | IL |