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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134174758 | NPPES |
| Illinois | MEDICAID | 036050009 |
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