Molly Grace Havlic, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14380847 Issued in IL

Practice address

1905 Argonne Dr
North Chicago, IL 60064-2500

Phone

(847) 689-6313

NPI assigned

Jun 6, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Spec Educ Dist Lake Co Sedol

  • Local Education Agency (LEA)
  • Gages Lake, IL
  • NPI 1013046614
  NPD (past)

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1992434963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ALPINE SPRINGS DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600612305",
            "telephone_number": "847-361-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 ARGONNE DR",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600642500",
            "telephone_number": "847-689-6313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Corporate Woods Pkwy",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600613155",
            "country_code": "US",
            "telephone_number": "224-513-6448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVLIC",
        "first_name": "MOLLY",
        "middle_name": "GRACE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "14380847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teanna D Harris, RN
• Jayna Ann Harthan, PSY.D.
• Tariq I. Hassan, M.D
• Connor Smith Haszto
• Lashaone Verniece Hatchett, M.D.
• Danielle Hawryluk
• Farhad Daniel Hayatghaib, M.D.
• Kya Hays
• Elisa C Heard, MSW, LCSW
• Tracey Heimberger

• Speech-Language Pathologist in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.