Individual
DAVID BARACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4905 OLD ORCHARD SHOPPING CTR, SUITE 310, SKOKIE, IL 60077-1425
(847) 982-0640
Mailing address
4905 OLD ORCHARD SHOPPING CTR, SUITE 310, SKOKIE, IL 60077-1425
(847) 982-0640
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021-001202
IL
Other
Enumeration date
10/06/2006
Last updated
01/25/2013
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