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Individual

MELISSA ANNE CHRISOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
580 ERIC WAY, BOLINGBROOK, IL 60440-1325
(630) 783-2818
Mailing address
580 ERIC WAY, BOLINGBROOK, IL 60440-1325
(630) 783-2818

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
02/09/2009
Last updated
02/09/2009
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  • EDI platform