Healthcare Provider Details
I. General information
NPI: 1881601243
Provider Name (Legal Business Name): ROBERT MOLNAR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/01/2006
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
701 WEST NORTH AVENUE
MELROSE PARK IL
60160-1612
US
IV. Provider business mailing address
387 SHUMAN BLVD SUITE 240W
NAPERVILLE IL
60563-8450
US
V. Phone/Fax
- Phone: 708-681-3202
- Fax:
- Phone: 630-868-2200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 36072039 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207LP2900X |
| Taxonomy | Pain Medicine (Anesthesiology) Physician |
| License Number | 36072039 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: