Individual provider · Type 1 NPI

Ida Molavi

Trauma Surgery Physician · Chicago, IL

NPI number 1730663907 Active

Practice location

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

Call (773) 296-5073 Map

Fax (773) 296-7199

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Surgical Critical Care Physician 2086S0102X036-168562 (IL)
Surgery Physician 208600000X321181 (LA)
Trauma Surgery Physician Primary 2086S0127X036168562 (IL)
Surgery Physician 208600000X036-168562 (IL)

Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …

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About NPI 1730663907

Ida Molavi's National Provider Identifier is 1730663907, issued on Sep 24, 2018. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in Chicago, IL. The record was last updated on Feb 5, 2026.