Provider Demographics
NPI:1740584903
Name:HOBSON, F LYN (PT)
Entity Type:Individual
Prefix:MS
First Name:F
Middle Name:LYN
Last Name:HOBSON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 W RAVEN ST
Mailing Address - Street 2:APT 1 SOUTH
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-2567
Mailing Address - Country:US
Mailing Address - Phone:773-774-1599
Mailing Address - Fax:773-774-1597
Practice Address - Street 1:10 EXECUTIVE CT
Practice Address - Street 2:SUITE 5A
Practice Address - City:SOUTH BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9550
Practice Address - Country:US
Practice Address - Phone:847-277-7930
Practice Address - Fax:847-277-7932
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.002645225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist