Provider Demographics
NPI:1215030895
Name:HORAK, CHRISTOPHER JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:HORAK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 S BUTTERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-9458
Mailing Address - Country:US
Mailing Address - Phone:847-362-8882
Mailing Address - Fax:847-362-8889
Practice Address - Street 1:706 S BUTTERFIELD RD
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-9458
Practice Address - Country:US
Practice Address - Phone:847-362-8882
Practice Address - Fax:847-362-8889
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038006188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL04932067OtherBCBS
786190Medicare ID - Type Unspecified
T39082Medicare UPIN