Provider Demographics
NPI:1578533600
Name:HOCHBERG, LAURIE C (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:C
Last Name:HOCHBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:767 PARK AVE W
Mailing Address - Street 2:SUITE 230
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-2400
Mailing Address - Country:US
Mailing Address - Phone:847-681-7100
Mailing Address - Fax:847-681-7110
Practice Address - Street 1:900 N. WESTMORELAND
Practice Address - Street 2:SUITE 217
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045
Practice Address - Country:US
Practice Address - Phone:847-482-0273
Practice Address - Fax:847-615-1708
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2013-01-16
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Provider Licenses
StateLicense IDTaxonomies
IL036085776208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4919303OtherBCBS