Chorba, Thomas John

Chorba, Thomas John is an sole proprietor health care provider with primary practice located at 1101 Howard St Ste 105 , Evanston IL 60202-3878. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Chorba, Thomas John can be contacted via phone (773) 561-4477.

Contact Information

Primary practice address
1101 Howard St Ste 105 Evanston IL 60202-3878
Phone: (773) 561-4477
Fax: (773) 561-9277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036050009 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036050009 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036050009 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036050009 Illinois

Profile Details

NPI number 1134174758
LBN Legal business name Chorba, Thomas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Jan 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134174758 NPPES
Illinois MEDICAID 036050009

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