Organization
THOMAS J CHORBA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JOHN CHORBA M.D. (OWNER)
(773) 561-4477
Entity
Organization
Contact information
Practice address
1101 HOWARD STREET, SUITE 105, EVANSTON, IL 60202
(773) 561-4477
(773) 561-9277
Mailing address
1107 CLEVELAND ST, EVANSTON, IL 60202
(773) 561-4477
(773) 561-9277
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-050009
IL
Other
Enumeration date
07/29/2010
Last updated
01/30/2019
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