# HORSEFEATHERS

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

## Provider details

- **NPI number:** 1063811149
- **Authorized official:** MR. NICHOLAS EB COYNE (PRESIDENT)
- **Authorized official phone:** (847) 234-2411

## Contact information

- **Practice address:** 1181 RIVERWOODS RD, LAKE FOREST, IL 60045-3459
- **Practice address phone:** (847) 234-2411
- **Practice address fax:** (847) 905-0737
- **Mailing address:** 1181 RIVERWOODS RD, LAKE FOREST, IL 60045-3459
- **Mailing address phone:** (847) 234-2411
- **Mailing address fax:** (847) 905-0737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | 056.006145 | IL | Yes |

## Other

- **Enumeration date:** 08/14/2014
- **Last updated:** 08/14/2014