Provider Demographics
NPI:1528023074
Name:HORIZON THERAPY LLC
Entity Type:Organization
Organization Name:HORIZON THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST CLINICAL MA
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADETUTU
Authorized Official - Middle Name:OLUSOLA
Authorized Official - Last Name:BALOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:708-614-1782
Mailing Address - Street 1:2 OLYMPUS DR
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-4827
Mailing Address - Country:US
Mailing Address - Phone:708-614-1782
Mailing Address - Fax:708-429-5868
Practice Address - Street 1:2 OLYMPUS DR
Practice Address - Street 2:
Practice Address - City:TINLEY PARK
Practice Address - State:IL
Practice Address - Zip Code:60477-4827
Practice Address - Country:US
Practice Address - Phone:708-614-1782
Practice Address - Fax:708-429-5868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty