Provider Demographics
NPI:1750429205
Name:MOLINA, VIOLA V (MD)
Entity type:Individual
Prefix:DR
First Name:VIOLA
Middle Name:V
Last Name:MOLINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6300 KINGERY HWY
Mailing Address - Street 2:SUITE 404
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-2248
Mailing Address - Country:US
Mailing Address - Phone:630-789-3338
Mailing Address - Fax:630-789-3394
Practice Address - Street 1:6300 KINGERY HWY
Practice Address - Street 2:SUITE 404
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-2248
Practice Address - Country:US
Practice Address - Phone:630-789-3338
Practice Address - Fax:630-789-3394
Is Sole Proprietor?:No
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation