| Doctor Name: | DR. LOREN B HORTON |
| NPI Number: | 1851636377 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036031527 |
| Business Practice Address: | 430 Malden Ave La Grange Park, IL - 605261710 |
| Business Phone Number: | 7083523080 |
| Business Fax Number: | |
| Mailing Address: | 430 Malden Ave, LA GRANGE PARK |
| State: | IL |
| Postal Code: | 605261710 |
| Phone Number: | 1708352308 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2012 |
| NPI Last Update Date: | 12/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036031527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |