Individual
DR. RANDY J HORNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Contact information
Practice address
720 S RAND RD, LAKE ZURICH, IL 60047-2467
(847) 438-0055
(847) 438-8649
Mailing address
720 S RAND RD, LAKE ZURICH, IL 60047-2467
(847) 438-0055
(847) 438-8649
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049-82075
BCBS IL PROVIDER #
IL
Enumeration date
11/22/2006
Last updated
07/09/2007
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