Individual
MELISSA L WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3010 HIGHLAND PKWY STE 550, DOWNERS GROVE, IL 60515-5500
(630) 724-1100
(630) 724-0084
Mailing address
1503 WATKINS LN UNIT 208, NAPERVILLE, IL 60540-7248
(847) 691-8553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004887
IL
Other
Enumeration date
04/17/2014
Last updated
07/31/2019
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