Provider Demographics
NPI:1023207917
Name:HOBSON MEADOWS FAMILY MEDICINE S C
Entity Type:Organization
Organization Name:HOBSON MEADOWS FAMILY MEDICINE S C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROZNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-305-0010
Mailing Address - Street 1:1888 BAY SCOTT CIR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1106
Mailing Address - Country:US
Mailing Address - Phone:630-305-0010
Mailing Address - Fax:630-305-0311
Practice Address - Street 1:1888 BAY SCOTT CIR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1106
Practice Address - Country:US
Practice Address - Phone:630-305-0010
Practice Address - Fax:630-305-0311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC42776Medicare UPIN
930600Medicare PIN