Individual
MRS. HEATHER A. MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
251 E HURON ST, FEINBERG 4-710V, CHICAGO, IL 60611-2908
(312) 926-5343
(312) 926-7382
Mailing address
1644 N 76TH AVE, ELMWOOD PARK, IL 60707-4133
(708) 522-6792
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003814
IL
Other
Enumeration date
07/30/2010
Last updated
11/25/2013
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