THOMAS J CHORBA MD SC


Address: 1101 Howard Street, Suite 105, Evanston, IL 60202
Phone: 7735614477

THOMAS J CHORBA MD SC (NPI# 1629382858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629382858
Entity Type Organization
Organization Name THOMAS J CHORBA MD SC
Practice Address 1101 Howard Street
Suite 105
Evanston
IL 60202
Mailing Address 1107 Cleveland St
Evanston
IL 60202
Practice Telephone 7735614477
Practice Fax Number 7735619277
Mailing Telephone 7735614477
Mailing Fax Number 7735619277
Enumeration Date 2010-07-29
Last Update Date 2019-01-30
Authorized Official Name DR. THOMAS JOHN CHORBA (OWNER)
Authorized Official Telephone 7735614477
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 036-050009 IL Other Service Providers

Office Location

Street Address 1101 HOWARD STREET
SUITE 105
City EVANSTON
State IL
Zip Code 60202

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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699299313 Bridges Habilitation Services, Inc. Specialist 1425 Highway 150 S Ste 2, Evanston, WY 82930-5377 2017-08-03
1689027609 Adam Zastrow Specialist 834 Seward St Apt 1, Evanston, IL 60202-5322 2016-07-14
1366839912 Marie Doyle Specialist 2203 Central St, Apt. 1, Evanston, IL 60201-5718 2015-04-21
1124433248 Foundation for Medical Development In Central Europe Inc Specialist 1927 Sherman Ave Apt 3n, Evanston, IL 60201-3229 2014-06-26
1790109684 Haley Zimmerman Specialist 2307 Central St Apt 2, Evanston, IL 60201-5730 2014-02-12
1497030068 Jack Cooksey Specialist 2505 Lawndale Ave, Evanston, IL 60201-1157 2011-10-14
1376830240 Megan Romero Specialist 2663 Prairie Ave, Apt 3, Evanston, IL 60201-5744 2011-06-29
1225330046 Alison Lynn Velasco Specialist 2316 Prospect Ave., Evanston, IL 60201-1838 2010-11-30
1962737379 Gwendolyn Mason Fiske Specialist 1047 Darrow Ave, Evanston, IL 60202 2009-10-03
1063645810 Cherie Monique Adams Specialist 510 Kedzie St, Floor 1, Evanston, IL 60202-2306 2009-08-27
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Competitor

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City EVANSTON
Zip Code 60202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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