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Individual

LAURA ELISE HORVATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5300
(630) 352-5499
Mailing address
4405 WEAVER PKWY, WARRENVILLE, IL 60555-3269
(630) 352-5300
(630) 352-5499

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036104090
IL
207RX0202X
Medical Oncology Physician
5645240-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0222075
CDPG BLUE CROSS
IL
01
1033149844
CDPG NPI
IL
01
206147
MEDICARE PTAN (GROUP)
01
206147040
MEDICARE PTAN (INDIVIDUAL)
01
CA4748
MEDICARE RAILROAD (GROUP)
01
P00904919
MEDICARE RAILROAD (INDIVIDUAL)
Enumeration date
10/13/2006
Last updated
03/23/2012
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