Healthcare Provider Details

I. General information

NPI: 1932865920
Provider Name (Legal Business Name): MOLLY MEHLMAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2409 WESTWARD DR UNIT B
SPRING GROVE IL
60081-8686
US

IV. Provider business mailing address

2409 WESTWARD DR UNIT B
SPRING GROVE IL
60081-8686
US

V. Phone/Fax

Practice location:
  • Phone: 815-310-1349
  • Fax:
Mailing address:
  • Phone: 815-310-1349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.013460
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: