Moylan, Robert

Moylan, Robert is an individual health care provider with primary practice located at 1750 W Ogden Ave , Naperville IL 60540-9600. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Moylan, Robert can be contacted via phone (630) 717-2662.

Contact Information

Primary practice address
1750 W Ogden Ave Naperville IL 60540-9600
Phone: (630) 717-2662
Fax: (815) 768-2279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 180005037 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180005037 Illinois

Profile Details

NPI number 1164475984
LBN Legal business name Moylan, Robert
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Mar 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164475984 NPPES
Illinois Other 02232314 BCBS PROVIDER NUMBER

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