Individual
MRS. MOLLY ANNE CHEATEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1151 W 15TH ST UNIT 404, CHICAGO, IL 60608-3159
(773) 550-0488
Mailing address
1151 W 15TH ST UNIT 404, CHICAGO, IL 60608-3159
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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