Richard Moldwin, MD

Primary specialty

Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X

License

036.082760 Issued in IL

Practice address

9017 Ewing Ave
Evanston, IL 60203-1908

Phone

(847) 983-0085

NPI assigned

Dec 2, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1780829911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9017 EWING AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031908",
            "telephone_number": "847-983-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9017 EWING AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031908",
            "telephone_number": "847-983-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDWIN",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "IL",
            "license": "036.082760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hasna Mohamed
• Wiam Mohamed Ali Mohamed, MD
• Yasmeen Noorjehan Mohammed Rafee
• Erin Mohip
• Manal Mohiuddin, DO
• Molly K. McAfee, MD, SC
• Daphne Kimberly Moloney, MD
• Mary Molyneaux, LCSW
• Peter Monaghan, DDS
• Kathleen Leigh Monahan, PSYCHOLOGIST

• Pediatric Hematology & Oncology Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Pediatric Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.