Thomas J Chorba MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

License

036-050009 Issued in IL

Legal business name

THOMAS J CHORBA MD SC

Practice address

1101 Howard Street
Suite 105
Evanston, IL 60202

Phone

(773) 561-4477

Fax

(773) 561-9277

NPI assigned

Jul 29, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas John Chorba, M.D.NPI 1134174758

Title

Owner

Phone

(773) 561-4477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas John Chorba, MD

  • Surgery Physician
  • Evanston, IL
  • NPI 1134174758
  Medicare reassignment NPD Authorized official
• Phillip Zaret, M.D.

  • Surgery Physician
  • Libertyville, IL
  • NPI 1851387120
  NPD (past)

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1629382858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 CLEVELAND ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60202",
            "telephone_number": "773-561-4477",
            "fax_number": "773-561-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HOWARD STREET",
            "address_2": "SUITE 105",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60202",
            "telephone_number": "773-561-4477",
            "fax_number": "773-561-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J CHORBA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "CHORBA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-561-4477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-050009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nigel Christopher Thibodeaux, LCSW
• Kristyn Thielen, APRN
• Kristin E Thieme
• Third Coast Counseling
• Third Wave Wellness, LLC
• Thomas N Hammerman PLLC
• Ann Marie Thomas
• Antoinette Benita Thomas, M.D.
• Anu Thomas, APN-CNP
• Chanese Thomas

• Specialist in Evanston, IL
• Providers in Evanston, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.