Richard Horndasch
MD | Pediatric Adolescent Medicine | Male
Richard Horndasch, MD is a Peoria, Illinois based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Richard Horndasch is
1 Illini Dr, Medical Service Plan, Peoria, Illinois - 61605-2576. He can be contacted on phone at
309-671-8503.
Richard Horndasch is a sole proprietor of his business.
NPI number (Unique professional ID) for Richard Horndasch is
1134198856 which was assigned by NPPES on 15 Mar, 2006 and it was last updated on 09 Jul, 2007.
Richard Horndasch specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Richard Horndasch basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Richard Horndasch |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Richard Horndasch address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Illini Dr, Medical Service Plan
Peoria, IL, 61605-2576
United States |
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| Phone Number : | 309-671-8503 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134198856 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Mar, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard Horndasch are as mentioned. Primary taxonomy code for Richard Horndasch, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | IL |
Legacy Identifiers:
Other legacy medical identifiers of Richard Horndasch such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 07215036 | Other | IL | BCBS |
| IL0196 | Other | IL | JOHN DEERE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Illini Dr
Peoria, IL, 61605-2576
United States |
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| Phone Number : | 309-671-8503 |
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Business Location:
Patients can refer following map for directions to
Richard Horndasch practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.