Provider Demographics
NPI:1578739397
Name:HORNER, KATE MARGARET (CO)
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:MARGARET
Last Name:HORNER
Suffix:
Gender:F
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 BRIARWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-3873
Mailing Address - Country:US
Mailing Address - Phone:219-945-1393
Mailing Address - Fax:
Practice Address - Street 1:8400 BROOKFIELD AVE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:IL
Practice Address - Zip Code:60513-1707
Practice Address - Country:US
Practice Address - Phone:708-547-9871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL213000245222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist