Provider Demographics
NPI:1962632018
Name:HOBSON, JOEL M (DPT)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:M
Last Name:HOBSON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2222
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:71 SILHAVY RD
Practice Address - Street 2:121
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-4484
Practice Address - Country:US
Practice Address - Phone:219-462-0576
Practice Address - Fax:219-462-0216
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009933A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN487210019Medicare PIN