Individual
TIMOTHY T HORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1757 RIDGE RD, HOMEWOOD, IL 60430-1812
(708) 799-7500
(708) 798-4563
Mailing address
1757 RIDGE RD, HOMEWOOD, IL 60430-1812
(708) 799-7500
(708) 798-4563
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-004735
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632534
BCBS
IL
01
—
4618176
DEPT OF LABOR
IL
01
—
P00425132
RAILROAD MEDICARE
IL
Enumeration date
07/27/2006
Last updated
07/15/2013
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