Active NPI
Charisse Hobdy
- Occupational Therapist
- Glenview, IL
National Provider Identifier
1194135830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056008264
- Practice address
- 3703 W Lake Ave
Suite 200
Glenview, IL 60026-1223 - Phone
- (847) 998-1198
- NPI assigned
- May 3, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056008264 | IL | Primary |
Addresses
Primary practice location
3703 W Lake Ave
Suite 200
Glenview, IL 60026-1223
Mailing address
3703 W Lake Ave
Suite 200
Glenview, IL 60026-1223
Phone (847) 998-1198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056008264 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Occupational Therapist | Current | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
6300 Clarendon Hills Rd
Willowbrook, IL 60527
Phone (618) 534-7890
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
Occupational Therapist
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399075200000",
"number": "1194135830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 W LAKE AVE",
"address_2": "SUITE 200",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261223",
"telephone_number": "847-998-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 W LAKE AVE",
"address_2": "SUITE 200",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261223",
"telephone_number": "847-998-1198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBDY",
"first_name": "CHARISSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-03",
"last_updated": "2014-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056008264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2014; 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.