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Dr. Kathleen Carroll Moline, DO
Family Medicine Physician in Wheaton, Illinois
NPI 1730373259

Kathleen Carroll Moline is a Family Medicine Physician based in Wheaton, IL. Kathleen Carroll Moline practices in Wheaton, IL and has the professional credentials of DO. The NPI Number for Kathleen Carroll Moline is 1730373259 and holds a License No. 125-049243 (Illinois).

The current practice location address for Kathleen Carroll Moline is 1800 N Main St Ste 102, Wheaton, IL and can be reached out via phone at 630-260-0600 and via fax at 630-260-1370.

Location: 1800 N Main St Ste 102, Wheaton, IL, 60187-3112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730373259
Provider Name
Kathleen Carroll Moline
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1800 N Main St Ste 102, Wheaton, IL, 60187-3112
Phone Number
630-260-0600
Fax Number
630-260-1370
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00646859 01 IL MEDICARE RAILROAD PTAN (INDIVIDUAL)
R03102 01 IL MEDICARE PTAN (INDIVIDUAL)
548190 01 IL MEDICARE PTAN (GROUP)
CA4748 01 IL MEDICARE RAILROAD PTAN (GROUP)
institution
Provider Business Practice Location Address Details
Address
1800 N Main St Ste 102
City
Wheaton
State
Illinois
Zip
60187-3112
Phone Number
630-260-0600
Fax Number
630-260-1370
person
Provider Business Mailing Address Details
Address
1800 N Main St Ste 102
City
Wheaton
State
Illinois
Zip
60187-3112
Phone Number
630-260-0600
Fax Number
630-260-1370
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
125-049243 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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