Individual
MOLLY HODUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
(708) 660-3662
Mailing address
520 S MAPLE AVE, OAK PARK, IL 60304-1022
(708) 660-3662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164007348
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164007348
—
IL
Enumeration date
07/28/2020
Last updated
07/28/2020
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