NPI 1104398965

Molly Baker, PAC

Practitioner Physician Assistant Park Ridge, IL

Practice location

Address: 1700 Luther Ln STE 1170, Park Ridge, IL 60068-1270
Phone: (844) 376-3876
Mailing address: 29373 Network Pl, Chicago, IL 60673-1293

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085-006896 (IL)

Other Physician Assistant providers in Illinois →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 085-006896 (IL)

Registry record

NPI: 1104398965
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Dec 2018
Record last updated: 12 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.