Individual ProviderMolly SpaldingInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address820 South Wood Street, Suite 100, Mc 675, Chicago, IL 60612(312) 996-2933PECOS EnrollmentBased on the most recent information from CMS, provider Molly Spalding is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1457054579Provider TypeIndividualFull NameSpalding, MollyTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/27/2023Last Updated9/21/2023Contact InformationPractice LocationPractice Address820 South Wood Street, Suite 100, Mc 675, Chicago, IL 60612Phone(312) 996-2933FaxUnlisted FaxMailing LocationMailing Address820 South Wood Street, Suite 100, Mc 675, Chicago, IL 60612Phone(312) 996-2933FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125.081345IllinoisCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer