Individual
PHILIP G HORCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE., WALGREEN 1505, EVANSTON, IL 60201
(847) 570-2033
Mailing address
2650 RIDGE AVE., WALGREEN 1505, EVANSTON, IL 60201-1718
(847) 570-2033
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036077099
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036077099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036077099
STATE LICENSE
IL
Enumeration date
12/08/2006
Last updated
11/01/2018
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