Ida Molavi

Trauma Surgery Physician · Chicago, IL

Individual Active NPI

NPI number 1730663907

Practice location

836 W Wellington Ave Rm 4813CC
Chicago, IL 60657-5147
Phone
(773) 296-5073
Fax
(773) 296-7199

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NPI record

NPI
1730663907
Entity type
Individual (Type 1)
Enumeration date
September 24, 2018
Last updated
February 5, 2026
Certified
February 5, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Trauma Surgery Physician Primary 2086S0127X 036168562 IL
Surgical Critical Care Physician 2086S0102X 036-168562 IL
Surgery Physician 208600000X 321181 LA
Surgery Physician 208600000X 036-168562 IL

Mailing address

29373 Network Pl
Chicago, IL 60673-1293
Phone
(847) 390-5900

Other practice locations (1)

  • Department of Surgery, 1501 Kings Hwy, Shreveport, LA 71103-4228 · (318) 675-5000

About Ida Molavi

Ida Molavi is a healthcare provider registered in the NPI registry with the primary taxonomy Trauma Surgery Physician (code 2086S0127X). The practice location is 836 W Wellington Ave Rm 4813CC, Chicago, IL 60657-5147. The NPI number 1730663907 was assigned on September 24, 2018 and the record was last updated on February 5, 2026.

Ida Molavi lists 4 licenses in the registry: #036168562 (IL) for Trauma Surgery Physician; #036-168562 (IL) for Surgical Critical Care Physician; #321181 (LA) for Surgery Physician; #036-168562 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ida Molavi?

The NPI number is 1730663907.

What is the phone number of Ida Molavi?

The phone number listed for the practice location is (773) 296-5073.

Where is Ida Molavi located?

836 W Wellington Ave Rm 4813CC, Chicago, IL 60657-5147.

What is the taxonomy code for Ida Molavi?

The primary taxonomy code is 2086S0127X – Trauma Surgery Physician; 3 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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