Individual
DR. JACK PETER HORBAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6033 N SHERIDAN RD, CAPTAIN'S WALK N5, CHICAGO, IL 60660-3003
(773) 275-0110
Mailing address
1200 RALEIGH RD, GLENVIEW, IL 60025-3028
(847) 724-5678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5227-015
WI
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/23/2005
Last updated
07/08/2007
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