RICHARD HORNDASCH

PEORIA, IL
NPI1134198856
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080A0000X Pediatrics, Adolescent Medicine
(Licence: IL  036073222)
Enumeration Date2006-03-15
Last Update Date2007-07-09
Business Address
-- RICHARD HORNDASCH MD
1 ILLINI DR MEDICAL SERVICE PLAN
PEORIA, IL 61605-2576
Phone number: 309-671-8503
Mailing Address
-- RICHARD HORNDASCH MD
1 ILLINI DR
PEORIA, IL 61605-2576
Phone number: 309-671-8503