Individual
DR. MARY A HORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
(708) 783-0327
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-9100
(708) 783-0327
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-084849
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084849
—
IL
Enumeration date
10/23/2006
Last updated
04/25/2017
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