Organization
D KIMBERLY MOLONEY MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE KIMBERLY MOLONEY MD (PRESIDENT)
(847) 864-6100
Entity
Organization
Contact information
Practice address
636 CHURCH ST STE 603, EVANSTON, IL 60201-4586
(847) 864-6100
Mailing address
636 CHURCH ST STE 603, EVANSTON, IL 60201-4586
(847) 864-6100
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
IL
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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