| Nancy S Molitor Phd Pc | |
|
3330 Old Glenview Rd Suite 5 Wilmette IL 60091-2963 | |
| (847) 251-0425 | |
| Not Available |
| Full Name | Nancy S Molitor Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3330 Old Glenview Rd, Wilmette, Illinois |
| Authorized Official Name and Position | Nancy S Molitor (OWNER) |
| Authorized Official Contact | 8472510425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy S Molitor Phd Pc Po Box 387 Addison IL 60101-0387 Ph: (847) 251-0425 | Nancy S Molitor Phd Pc 3330 Old Glenview Rd Suite 5 Wilmette IL 60091-2963 Ph: (847) 251-0425 |
| NPI Number | 1154426237 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 7113025891 |
|---|---|
| Medicare Enrollment ID | O20070604000355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154426237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071003774 (Illinois) | Primary |
| Provider Name | Nancy S Molitor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073618153 PECOS PAC ID: 4587762265 Enrollment ID: I20070604000346 |
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