Provider Demographics
NPI:1912683715
Name:MOLONEY, CAROLYN ANGELA (MB BCHBAO, MRCPI,MSC)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:ANGELA
Last Name:MOLONEY
Suffix:
Gender:F
Credentials:MB BCHBAO, MRCPI,MSC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:420 E. SUPERIOR ST
Mailing Address - Street 2:STE 9-900
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-503-7975
Mailing Address - Fax:
Practice Address - Street 1:420 E. SUPERIOR ST
Practice Address - Street 2:STE 9-900
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-503-7975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL125083040207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology