D KIMBERLY MOLONEY MDSC NPI 1801070206

NPI Information

NPI: 1801070206
Provider Name: D KIMBERLY MOLONEY MDSC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
636 CHURCH ST STE 603
EVANSTON, IL
ZIP 60201
Phone: (847) 864-6100
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D KIMBERLY MOLONEY MDSC is a health service clinic center in Evanston, IL. D KIMBERLY MOLONEY MDSC NPI is 1801070206. The provider is registered as an organization entity type.

The provider's business location address is:

636 CHURCH ST STE 603
EVANSTON, IL
ZIP 60201-586
Phone: (847) 864-6100

The provider's authorized official is Daphne Kimberly Moloney .
The authorized official title is President and has the following contact phone number (847) 864-6100.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 12/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	987293	MEDICARE PIN	ILLINOIS
2	F37751	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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