Individual
MOLLY GERBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 S CLAY ST STE LL30, HINSDALE, IL 60521-3257
(630) 286-5050
(630) 286-5052
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005698
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400305897
MEDICARE PTAN
IL
01
—
F400305898
MEDICARE PTAN
IL
Enumeration date
04/25/2016
Last updated
07/18/2023
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