Molly Blohm, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

041.394394 Issued in IL

Practice address

1950 W Roscoe St
Chicago, IL 60657-1030

Phone

(847) 525-0729

NPI assigned

Sep 14, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Molly Gapen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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

• Partum Health Service Corporation

  • Obstetrics & Gynecology Physician
  • Chicago, IL
  • NPI 1316694193
  NPD

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1801518188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W BROOKWOOD DR",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600042516",
            "telephone_number": "847-525-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W ROSCOE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571030",
            "telephone_number": "847-525-0729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 W Wellington Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575147",
            "country_code": "US",
            "telephone_number": "773-296-7765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOHM",
        "first_name": "MOLLY",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "041.394394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "GAPEN",
            "credential": "RN, IBCLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennine Blocker-Lamb
• Carly Blodgett, MS, CCC-SLP
• Marie Bloem, M.A., CF-SLP
• Dana Bloemer
• Wojciech Blogowski, MD
• Aric Neil Blom, PA-C
• Suzanne Grant Blomberg, LCPC
• Nicole Blome, MOT, OTR/L
• Colleen Krombach Blomgren, MPT
• Emily Blomquist

• Lactation Consultant (Registered Nurse) in Chicago, IL
• Providers in Chicago, IL by specialty
• Lactation Consultant (Registered Nurse) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.