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Molly Uyenishi

Physician Assistant in Libertyville, IL. Individual provider (NPI-1).

NPI number1124459482
StatusActive
Last updated in NPPESDec 11, 2013

Details

NPI
1124459482
Entity type
Individual (NPI-1)
Name
Molly Uyenishi
Sex
Female
Sole proprietor
No
Enumeration date
Dec 11, 2013
Last updated
Dec 11, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

720 Florsheim Dr
Libertyville, IL 60048-3757

Phone 847-247-4000

Mailing address

900 Rand Rd
Suite 300
Des Plaines, IL 60016-2359

Phone 847-324-3976

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