Steven Ray Lobacz, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-098563 Issued in IL

Practice address

1545 W Morse Ave
Chicago, IL 60626-3306

Phone

(773) 764-5135

Fax

(773) 764-4967

NPI assigned

Apr 28, 2006

Last updated

Apr 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1558328955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606268312",
            "telephone_number": "773-764-5135",
            "fax_number": "773-764-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 W MORSE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606263306",
            "telephone_number": "773-764-5135",
            "fax_number": "773-764-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBACZ",
        "first_name": "STEVEN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-098563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098563",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giai Thieu Lo, M.D.
• Hannah Lo, MD, MPH
• Lesli Lo, DPT
• Sheldon Lo, DPT, MS, ATC
• Mark T Loafman, MD
• Jeffrey G Lobas, MD
• Thom E. Lobe, MD
• Allison D. Lobel, PSY.D.
• Andrea Loberg, M.D.
• Ann-Marie Lobo-Chan, M.D.

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.