Horodysky, Orest Rostyslaw

Horodysky, Orest Rostyslaw is an individual health care provider with primary practice located at 21205 Owens Rd Ste 3 , Mokena IL 60448-2023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Horodysky, Orest Rostyslaw can be contacted via phone (815) 469-2123.

Contact Information

Primary practice address
21205 Owens Rd Ste 3 Mokena IL 60448-2023
Phone: (815) 469-2123
Fax: (815) 469-2149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036055839 Illinois

Profile Details

NPI number 1689749475
LBN Legal business name Horodysky, Orest Rostyslaw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Mar 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689749475 NPPES
Other 649420 MEDICARE PROV NUMBER
Other 09915014 MEDICARE PROV NUMBER
MEDICAID 036055839 MEDICARE PROV NUMBER

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