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Organization
PHYSICAL THERAPY RENAISSANCE LTD
Active
Organization
PHYSICAL THERAPY RENAISSANCE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER FLAGE HOBSON PT, DPT, MTC, CFC, C (DOCTOR OF PHYSICAL THERAPY)
(312) 986-9833
Entity
Organization
Contact information
Practice address
30 N MICHIGAN AVE STE 1001, CHICAGO, IL 60602-3502
(312) 986-9833
Mailing address
30 N MICHIGAN AVE STE 506, CHICAGO, IL 60602-3837
(312) 986-9833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012508
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232891
BCBS
IL
05
—
070012508
—
IL
Enumeration date
09/26/2006
Last updated
05/20/2026
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