Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 036.144564 | IL |
NPI | 1093109506 |
---|---|
Provider Name | Melinda Merola |
First Address | Mount Prospect, IL 60056-6039 |
Second Address | Mount Prospect, IL 60056-6039 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2015 |
Last Update Date | 04/01/2022 |