Ivonne Heras Hobfoll, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071003526 Issued in IL

Practice address

1653 W Congress Parkway
Rush University Medical Center-Dept. Behavioral Science
Chicago, IL 60612-3244

Phone

(312) 942-5932

Fax

(312) 942-4990

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Ivonne Heras Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1679688246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PARKWAY",
            "address_2": "RUSH UNIVERSITY MEDICAL CENTER-DEPT. BEHAVIORAL SCIENCE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123244",
            "telephone_number": "312-942-5932",
            "fax_number": "312-942-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PARKWAY",
            "address_2": "RUSH UNIVERSITY MEDICAL CENTER-DEPT. BEHAVIORAL SCIENCE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123244",
            "telephone_number": "312-942-5932",
            "fax_number": "312-942-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBFOLL",
        "first_name": "IVONNE",
        "middle_name": "HERAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA",
            "identifier": "R03903",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4130254",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVONNE",
            "last_name": "HERAS",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timakia Hobbs
• Charbel Hobeika, MD
• Natalie Hobeika, MD
• Otylia Hoberland, D.C.
• Kelly Hoberman
• Stevan Earl Hobfoll, PH.D.
• Damita Sharice Hobson
• Jennifer Flage Hobson, PT,DPT,MTC, CFC
• Vanessa Hobson, LCSW
• Nicole Therese Hobus, MS,OTR/L

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.