Individual
CARRIE L HORACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
2709 N KNOXVILLE AVE, PEORIA, IL 61604
(309) 253-1701
Mailing address
101 PARKEDGE CT, EAST PEORIA, IL 61611-4775
(309) 253-1701
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
209008103
IL
Other
Enumeration date
05/04/2010
Last updated
06/18/2018
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