MEDICARE: DR. JACK PETER HORBAL D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	5227-015	WI
2	122300000X	Dentist		IL

General Provider Information

NPI Number	:	1679556500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACK PETER HORBAL D.D.S.

Provider Business Mailing Address
First Line	:	1200 RALEIGH RD
Second Line	:
City	:	GLENVIEW
State	:	IL
Zip	:	60025-3028
Country	:	US
Telephone Number	:	847-724-5678
Fax Number	:

Provider Business Practice Location Address
First Line	:	6033 N SHERIDAN RD
Second Line	:	CAPTAIN'S WALK N5
City	:	CHICAGO
State	:	IL
Zip	:	60660-3003
Country	:	US
Telephone Number	:	773-275-0110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1093774481 — SNEHDHAN YESHODHAN PT
Practice Location Address:

6033 N SHERIDAN RD , APT 23-G
CHICAGO, IL
60660-3003

Practice Phone: 773-769-6735
Practice Fax: 773-769-6735

1417974395 — MS. ELAINE JANET WAGNER DC
Practice Location Address:

6033 N SHERIDAN RD # CW04S-05
CHICAGO, IL
60660-3003

Practice Phone: 773-274-6827
Practice Fax:

1023243151 — KERSTIN ELIZABETH HORBAL DDS
Practice Location Address:

6033 N SHERIDAN RD , CAPTAIN'S WALK
CHICAGO, IL
60660-3003

Practice Phone: 773-275-0110
Practice Fax:

1346560349 — AFFINITY REHAB AND THERAPY SERVICES LLC
Practice Location Address:

6033 N SHERIDAN RD , SUITE 22E
CHICAGO, IL
60660-3003

Practice Phone: 773-334-8643
Practice Fax: 773-751-2250

1538448956 — ALICE HALL MARTIN MA/OTR
Practice Location Address:

6033 N SHERIDAN RD , N6
CHICAGO, IL
60660-3003

Practice Phone: 773-275-4800
Practice Fax: 773-751-2250

1326382458 — LEANNE KING BACHELOR
Practice Location Address:

6033 N SHERIDAN RD , #22E
CHICAGO, IL
60660-3003

Practice Phone: 217-416-5453
Practice Fax:

Directions to “ DR. JACK PETER HORBAL D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.