IDA MOLAVI

CHICAGO, IL
NPI1730663907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0127X Surgery, Trauma Surgery
(Licence: IL  036168562)
Additional Taxonomies2086S0102X Surgery, Surgical Critical Care
(Licence: IL  036-168562)
208600000X Surgery
(Licence: LA  321181)
208600000X Surgery
(Licence: IL  036-168562)
Enumeration Date2018-09-24
Last Update Date2026-02-05
Business Address
IDA MOLAVI
836 W WELLINGTON AVE RM 4813CC
CHICAGO, IL 60657-5147
Phone number: 773-296-5073
Mailing Address
IDA MOLAVI
29373 NETWORK PL
CHICAGO, IL 60673-1293
Phone number: 847-390-5900