Provider Demographics
NPI:1952640401
Name:HORNUNG, MARGARET JEANNE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:JEANNE
Last Name:HORNUNG
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SHOREWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60404-9429
Mailing Address - Country:US
Mailing Address - Phone:815-715-8763
Mailing Address - Fax:
Practice Address - Street 1:410 E LINCOLN HWY STE 101
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-1976
Practice Address - Country:US
Practice Address - Phone:815-462-5545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-04
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010194363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner