Individual
BLAKE H HORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N WABASH AVE UNIT 77F, CHICAGO, IL 60611-3979
(630) 269-1459
Mailing address
401 N WABASH AVE UNIT 77F, CHICAGO, IL 60611-3979
(630) 269-1459
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036-090898
IL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
036090898
IL
208600000X
Surgery Physician
036090898
IL
Other
Enumeration date
11/16/2006
Last updated
11/09/2021
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