Provider Demographics
NPI:1144201518
Name:CHEN, HORNER JR (MD)
Entity Type:Individual
Prefix:
First Name:HORNER
Middle Name:
Last Name:CHEN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 N MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9529
Mailing Address - Country:US
Mailing Address - Phone:847-428-0148
Mailing Address - Fax:
Practice Address - Street 1:MORRIS HOSPITAL
Practice Address - Street 2:150 WEST HIGH STREET
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450
Practice Address - Country:US
Practice Address - Phone:815-942-2932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36148207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA38982OtherWELLMARK BCBS
IA38982OtherWELLMARK BCBS
D93930Medicare UPIN