Individual
THOMAS CHARLES LOBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(847) 688-1900
Mailing address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(734) 286-4594
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125067684
IL
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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