Individual
DR. THEODORE CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 947-0229
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 947-0229
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036158615
IL
207P00000X
Emergency Medicine Physician
MD416995
PA
Other
Enumeration date
07/13/2006
Last updated
11/10/2021
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