Hodul, Molly

Hodul, Molly is an individual health care provider with primary practice located at 520 S Maple Ave , Oak Park IL 60304-1022. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Hodul, Molly can be contacted via phone (708) 660-3662.

Contact Information

Primary practice address
520 S Maple Ave Oak Park IL 60304-1022
Phone: (708) 660-3662
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164007348 Illinois

Profile Details

NPI number 1104435908
LBN Legal business name Hodul, Molly
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2020
Last updated Jul 28th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104435908 NPPES
Illinois MEDICAID 164007348

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