Organization Active NPI

Robert a Hozman MD SC

  • Rheumatology Physician
  • Skokie, IL
National Provider Identifier
1174542435
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036067290 Issued in IL
Legal business name
ROBERT A HOZMAN MD SC
Practice address
4709 Golf Rd
Suite 111
Skokie, IL 60076-1231
Phone
(847) 673-8470
NPI assigned
Jul 18, 2006
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ROBERT A HOZMAN MD SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert A Hozman, M.D.NPI 1659308237
Title
President
Phone
(847) 673-8473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036067290 IL Primary

Addresses

Primary practice location

4709 Golf Rd
Suite 111
Skokie, IL 60076-1231

Mailing address

PO Box 97
Highland Park, IL 60035-0097
Phone (847) 673-8473

Other identifiers 3

IdentifierTypeStateIssuer
036067290MedicaidIL
110184190OtherRAILROAD MEDICARE
01622311OtherILBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070920000338 IL Part B Supplier - Clinic/Group Practice 6002900115 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Libertyville, IL; Skokie, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Robert a Hozman MD SC2 organizations share this tax ID, including this one
Part of
Robert a Hozman MD SC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4709 Golf Rd
Ste 111
Skokie, IL 60076
Phone (847) 673-8470

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1174542435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600350097",
            "telephone_number": "847-673-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD",
            "address_2": "SUITE 111",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "847-673-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A HOZMAN MD SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT A HOZMAN MD SC",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "HOZMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-673-8473",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036067290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067290",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110184190",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01622311",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.