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Organization
MELI DEVELOPMENT CENTER
Active
Organization
MELI DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISA ALABA-YUSOUF MA (DIRECTOR)
(630) 783-1850
Entity
Organization
Contact information
Practice address
542 E BOUGHTON RD, BOLINGBROOK, IL 60440-2181
(630) 783-1850
Mailing address
542 E BOUGHTON RD, BOLINGBROOK, IL 60440-2181
(630) 783-1850
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180006045
IL
1041C0700X
Clinical Social Worker
149011369
IL
1041C0700X
Clinical Social Worker
Primary
149012708
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932455
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/20/2007
Last updated
05/22/2008
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