Melissa L Mathis ATC

NPI 1669610739 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1669610739
Gender Female
Enumeration Date 01/28/2009
Last Updated 01/28/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
4555 211TH ST
MATTESON IL, 60443-2318, US
Phone (708) 283-0021
Fax (708) 283-0831
Business Location
2017 WEBSTER LN
DES PLAINES IL, 60018-2722, US
Phone
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Illinois
License Number 096-002694
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According to our database, Melissa L Mathis ATC NPI is 1669610739, taxonomy code is 2255A2300X and license number is 096-002694, license state is located at Illinois. Melissa L Mathis ATC physically located at 4555 211th St, Matteson IL, 60443-2318. NPI Number Melissa L Mathis ATC has the Individual type.

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1669610739 NPI number is provided on an as is basis without warranty of any kind. 1669610739 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa L Mathis ATC are for informational purposes only.