Provider Demographics
NPI:1194128348
Name:THE HOBSON INSTITUTE
Entity type:Organization
Organization Name:THE HOBSON INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:FLAGE
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MTC, CFC
Authorized Official - Phone:312-986-9833
Mailing Address - Street 1:P.O. BOX A 3447
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60690-3447
Mailing Address - Country:US
Mailing Address - Phone:312-986-9833
Mailing Address - Fax:312-962-8855
Practice Address - Street 1:122 S MICHIGAN AVE
Practice Address - Street 2:SUITE 1806
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-6191
Practice Address - Country:US
Practice Address - Phone:312-986-9833
Practice Address - Fax:312-962-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070012508174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty