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Individual

DAVID H ORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
71 W 156TH ST, SUITE 400, HARVEY, IL 60426-4265
(708) 596-8710
(708) 596-9820
Mailing address
71 W 156TH ST, SUITE 400, HARVEY, IL 60426-4265
(708) 596-8710
(708) 596-9820

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036043321
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036043321
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036043321
IL
01
182910100
RRMC
IL
Enumeration date
07/22/2005
Last updated
11/15/2017
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