Barack, David

Barack, David is an individual health care provider with primary practice located at 4905 Old Orchard Shopping Ctr Suite 310, Skokie IL 60077-1425. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Barack, David can be contacted via phone (847) 982-0640.

Contact Information

Primary practice address
4905 Old Orchard Shopping Ctr Suite 310 Skokie IL 60077-1425
Phone: (847) 982-0640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 021-001202 Illinois

Profile Details

NPI number 1497842132
LBN Legal business name Barack, David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jan 25th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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