Active NPI
D Kimberly Moloney MDSC
- Health Service Clinic/Center
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
- Last updated
- Dec 20, 2007
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | IL | Primary |
Addresses
Primary practice location
636 Church St Ste 603
Evanston, IL 60201-4586
Mailing address
636 Church St Ste 603
Evanston, IL 60201-4586
Phone (847) 864-6100
National Provider Directory
National Provider DirectoryLocations
636 Church St
Ste 603
Evanston, IL 60201
Phone (773) 983-4444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecology Physician
- Evanston, IL
- NPI 1346319167
NPI Registry JSON
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": []
}
Other providers in Evanston, IL
Sources for this page
- 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.