Individual
DR. STEVEN RAY LOBACZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1545 W MORSE AVE, CHICAGO, IL 60626-3306
(773) 764-5135
(773) 764-4967
Mailing address
PO BOX 268312, CHICAGO, IL 60626-8312
(773) 764-5135
(773) 764-4967
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-098563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098563
—
IL
Enumeration date
04/28/2006
Last updated
04/16/2010
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