Individual
ROY HORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., FACEP
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 362-2900
Mailing address
75 REMIT DRIVE, LOCKBOX 6322, CHICAGO, IL 60675-6322
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-061292
IL
207P00000X
Emergency Medicine Physician
24697
WI
207P00000X
Emergency Medicine Physician
4301053153
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061292
—
IL
Enumeration date
07/13/2006
Last updated
12/16/2021
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