D Kimberly Moloney MDSC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

D KIMBERLY MOLONEY MDSC

Practice address

636 Church St Ste 603
Evanston, IL 60201-4586

Phone

(847) 864-6100

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Daphne Kimberly Moloney, MD

Title

President

Phone

(847) 864-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1801070206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 603",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014586",
            "telephone_number": "847-864-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 603",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014586",
            "telephone_number": "847-864-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D KIMBERLY MOLONEY MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "MOLONEY",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-864-6100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biljana Cvejin, PSYD
• Cynthia Ciluffo, LCSW
• Bogumila W Czaplinski, RD
• Michal I Czesny
• D a Medi Services Inc
• Sabrina D'Haiti, OD
• Lisa Mary D'Innocenzo, ATR, LCPC
• Shawn D'Souza, MD
• Madison Dabaco
• Stefan Dabizljevic, LSW

• Health Service Clinic/Center in Evanston, IL
• Providers in Evanston, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.