Basic Information
| Provider Information | |||||||||
| NPI: | 1386601037 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HORN | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | P. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 959 | ||||||||
| Address2: | |||||||||
| City: | DUNDEE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601180959 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8474281515 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 231 W MAIN ST | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | CARPENTERSVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601101788 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8474281515 | ||||||||
| FaxNumber: | 8474280024 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2006 | ||||||||
| LastUpdateDate: | 08/05/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 38-004868 | IL | Y | Chiropractic Providers | Chiropractor |
No ID Information.