Organization Active NPI

D Kimberly Moloney MDSC

  • Health Service Clinic/Center
  • Evanston, IL
National Provider Identifier
1801070206
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
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
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Daphne Kimberly Moloney, MDNPI 1346319167
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.