Healthcare Provider Details

I. General information

NPI: 1851913818
Provider Name (Legal Business Name): COLLEEN MARIE STOBINSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2020
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 MOON LAKE BLVD STE 100
HOFFMAN ESTATES IL
60169-5700
US

IV. Provider business mailing address

1721 MOON LAKE BLVD STE 100
HOFFMAN ESTATES IL
60169-5700
US

V. Phone/Fax

Practice location:
  • Phone: 847-884-9800
  • Fax:
Mailing address:
  • Phone: 847-884-9800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number036171561
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: