Organization
BLAKE H. HORIO, M.D., LTD
Active
Parent organization
BLAKE H. HORIO, M.D, LTD
Other names
Blake H. Horio, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLAKE H. HORIO, M.D, LTD
Authorized official
DR. BLAKE H HORIO M.D. (OWNER/PHYSICIAN)
(630) 734-2000
Entity
Organization
Contact information
Practice address
710 N YORK RD, HINSDALE, IL 60521-3555
(630) 734-2000
(630) 734-1090
Mailing address
PO BOX 643, HINSDALE, IL 60522-0643
(630) 734-2000
(630) 734-1090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-090898
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001630006
BLUE CROSS BLUE SHIELD
IL
05
—
036090898
—
IL
01
—
180028812
RAILROAD MEDICARE
IL
Enumeration date
10/04/2007
Last updated
07/11/2008
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