Healthcare Provider Details

I. General information

NPI: 1851495089
Provider Name (Legal Business Name): KATHLEEN HOBEIN SOCIAL WORKER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5TH AVENEW AND ROOSEVELT ROAD
HINES IL
60141-5000
US

IV. Provider business mailing address

33 WINNERS CUP CIR
WHEATON IL
60187-1029
US

V. Phone/Fax

Practice location:
  • Phone: 708-202-2245
  • Fax: 708-202-2163
Mailing address:
  • Phone: 630-665-1178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: