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NPI Code Detail

MEDICARE: MOLLY MALONEY APRN

MEDICARE: MOLLY MALONEY APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2025096333IL

General Provider Information

NPI Number : 1518813880
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY MALONEY APRN
Provider Business Mailing Address
First Line : 571 S SAYLOR AVE
Second Line :
City : ELMHURST
State : IL
Zip : 60126-3827
Country : US
Telephone Number : 630-542-9088
Fax Number :
Provider Business Practice Location Address
First Line : 1137 MCHENRY RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-1377
Country : US
Telephone Number : 847-807-8777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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