Provider Demographics
NPI:1629123278
Name:HORLANDER, NILIMA MOHAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:NILIMA
Middle Name:MOHAN
Last Name:HORLANDER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 ROCKLAND DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-6220
Mailing Address - Country:US
Mailing Address - Phone:630-851-7129
Mailing Address - Fax:
Practice Address - Street 1:2484 US ROUTE 30
Practice Address - Street 2:SUITE B101
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543
Practice Address - Country:US
Practice Address - Phone:630-801-1999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY82971223G0001X
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice