Individual
MOLLY CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10025 S BELL AVE, CHICAGO, IL 60643-1903
(773) 505-6695
Mailing address
10025 S BELL AVE, CHICAGO, IL 60643-1903
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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