Individual
MS. MOLLY E KAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, CNM
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 296-7032
(773) 296-3096
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.012056
IL
Other
Enumeration date
10/30/2014
Last updated
03/26/2025
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