Healthcare Provider Details

I. General information

NPI: 1275497380
Provider Name (Legal Business Name): MR. SIMON HOBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 N LASALLE STREET, SUITE 1800
CHICAGO IL
60601
US

IV. Provider business mailing address

203 N LASALLE STREET, SUITE 1800
CHICAGO IL
60601
US

V. Phone/Fax

Practice location:
  • Phone: 312-642-3700
  • Fax:
Mailing address:
  • Phone: 312-642-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number122300000
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: