Individual
THOM E. LOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 S WOOD ST STE 416MC958, CHICAGO, IL 60612
(312) 413-7707
Mailing address
840 S WOOD ST STE 416MC958, CHICAGO, IL 60612-4325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G88065
CA
208600000X
Surgery Physician
036127019
IL
2086S0120X
Pediatric Surgery Physician
Primary
036127019
IL
208D00000X
General Practice Physician
G0760
TX
208D00000X
General Practice Physician
G88065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127019
—
IL
Enumeration date
11/15/2005
Last updated
01/21/2025
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