Healthcare Provider Details

I. General information

NPI: 1023207917
Provider Name (Legal Business Name): HOBSON MEADOWS FAMILY MEDICINE S C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 07/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1888 BAY SCOTT CIR
NAPERVILLE IL
60540-1106
US

IV. Provider business mailing address

1888 BAY SCOTT CIR
NAPERVILLE IL
60540-1106
US

V. Phone/Fax

Practice location:
  • Phone: 630-305-0010
  • Fax: 630-305-0311
Mailing address:
  • Phone: 630-305-0010
  • Fax: 630-305-0311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT ROZNER
Title or Position: OWNER
Credential: MD
Phone: 630-305-0010