Individual
DR. ASHIF KHALED MOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(708) 478-7201
(708) 221-6766
Mailing address
OSF ST FRANCIS MEDICAL CENTER 530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 624-9351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.166116
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2020
Last updated
11/30/2023
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