Healthcare Provider Details

I. General information

NPI: 1962864298
Provider Name (Legal Business Name): MOLLY RAMASWAMI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 W 95TH ST STE 330
OAK LAWN IL
60453-2416
US

IV. Provider business mailing address

6700 W 95TH ST STE 330
OAK LAWN IL
60453-2416
US

V. Phone/Fax

Practice location:
  • Phone: 708-422-3242
  • Fax: 708-422-3243
Mailing address:
  • Phone: 708-422-3242
  • Fax: 708-422-3243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number144183
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME144183
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: