Organization
MARIA HORVAT MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA HORVAT MD (PRESIDENT)
(217) 345-2727
Entity
Organization
Contact information
Practice address
100 DEERPATH, CHARLESTON, IL 61920-9427
(217) 345-2727
(217) 345-2781
Mailing address
100 DEERPATH, CHARLESTON, IL 61920-9427
(217) 345-2727
(217) 345-2781
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
564650
MEDICARE GROUP
IL
Enumeration date
01/31/2008
Last updated
01/31/2008
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