MEDICARE: MR. SIMON HOBBS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	122300000	CA

General Provider Information

NPI Number	:	1275497380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SIMON HOBBS

Provider Business Mailing Address
First Line	:	203 N LASALLE STREET, SUITE 1800
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601
Country	:	US
Telephone Number	:	312-642-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	203 N LASALLE STREET, SUITE 1800
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60601
Country	:	US
Telephone Number	:	312-642-3700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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Directions to “ MR. SIMON HOBBS ” Practice Location

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