Kavanaugh, Molly
Kavanaugh, Molly is an sole proprietor health care provider with primary practice located at 3134 N Clark St , Chicago IL 60657-4414. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Kavanaugh, Molly can be contacted via phone (773) 296-7032.Contact Information
Primary practice address
3134 N Clark St
Chicago IL 60657-4414
Phone: (773) 296-7032
Fax: (773) 296-3096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209.012056 | Illinois |
Profile Details
| NPI number | 1457756611 |
|---|---|
| LBN Legal business name | Kavanaugh, Molly |
| Credentials | APN, CNM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 30th, 2014 |
| Last updated | May 25th, 2022 - about 4 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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