SearchIllinois1223G0001X

Molly Ericson

NPI 1699195669 · on the registry since 2014 · sole proprietor

Practice

Address
1350 E Chicago St
Suite 4
Elgin, IL 60120
Phone
(847) 760-6100
Organisation at this address
Fortress Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois