Healthcare Provider Details

I. General information

NPI: 1598672610
Provider Name (Legal Business Name): MOLLY ANN BRIDGET ARNOLD PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 RIVERSIDE RD STE 107
RIVERSIDE IL
60546-2276
US

IV. Provider business mailing address

218 N HALSTED ST UNIT 4
CHICAGO IL
60661-1361
US

V. Phone/Fax

Practice location:
  • Phone: 708-956-4800
  • Fax: 708-956-4900
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070040140
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: