Individual
DR. THOMAS JOHN CHORBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 HOWARD ST STE 105, EVANSTON, IL 60202-3878
(773) 561-4477
(773) 561-9277
Mailing address
1107 CLEVELAND ST, EVANSTON, IL 60202-2114
(773) 561-4477
(773) 561-9277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036050009
IL
207R00000X
Internal Medicine Physician
036050009
IL
208600000X
Surgery Physician
Primary
036050009
IL
208D00000X
General Practice Physician
036050009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050009
—
IL
Enumeration date
05/23/2006
Last updated
01/21/2019
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