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NPI Code Detail

MEDICARE: MOLLY MCCARTHY FNP

MEDICARE: MOLLY MCCARTHY FNP
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
1363LF0000XFamily Nurse Practitioner209030628IL

General Provider Information

NPI Number : 1700505930
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOLLY MCCARTHY FNP
Provider Business Mailing Address
First Line : 150 HARVESTER DR STE 300
Second Line :
City : BURR RIDGE
State : IL
Zip : 60527-5965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5841 S MARYLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60637-1443
Country : US
Telephone Number : 888-824-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2022
Last Update Date : 03/23/2026

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Directions to “ MOLLY MCCARTHY FNP” Practice Location

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