Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 209005980 | IL |
NPI | 1023046299 |
---|---|
Provider Name | Melissa Hilb |
First Address | Lake Forest, IL 60045-1674 |
Second Address | Lake Forest, IL 60045-1674 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 12/08/2009 |