Individual provider Active NPI

Molly Elizabeth Freely, APN

  • Pediatric Nurse Practitioner
  • Arlington Heights, IL
National Provider Identifier
1578734927
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209006669 Issued in IL
Practice address
121 S Wilke Rd Ste 605
Arlington Heights, IL 60005
Phone
(847) 749-2248
NPI assigned
Mar 13, 2008
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209006669 IL Primary

Addresses

Primary practice location

121 S Wilke Rd Ste 605
Arlington Heights, IL 60005

Mailing address

121 S Wilke Rd Ste 606
Arlington Heights, IL 60005-1529
Phone (847) 749-2248

Other practice location 1

4611 Golf Rd
Suite 200
Skokie, IL 60076-1209
Phone (847) 676-5394

Other names 1

  • Molly Elizabeth Godwin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512003202 IL Practitioner - Nurse Practitioner 3971020058 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209006669ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince May 1, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince May 1, 2025 Accepting new patients
Legacy Medical Care Inc PastSince Sep 25, 2019 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

Interoperability endpoints

  • Direct secure messaging: mfreely124914@direct.mhemail.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1578734927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD STE 606",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051529",
            "telephone_number": "847-749-2248",
            "fax_number": "847-259-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S WILKE RD STE 605",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "60005",
            "telephone_number": "847-749-2248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4611 Golf Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761209",
            "country_code": "US",
            "telephone_number": "847-676-5394",
            "fax_number": "847-679-7183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREELY",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-13",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209006669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "GODWIN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.