Organization · Type 2 NPI
Thomas J Chorba MD SC
Specialist · Evanston, IL
NPI number
1629382858
Active
Practice location
1101 Howard Street, Suite 105
Evanston, IL 60202
Fax (773) 561-9277
Mailing address
1107 Cleveland St
Evanston, IL 60202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036-050009 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1629382858
Thomas J Chorba MD SC's National Provider Identifier is 1629382858, issued on Jul 29, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Evanston, IL. The record was last updated on Jan 30, 2019.