Individual
MELISSA MANZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(770) 880-9722
Mailing address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(770) 880-9722
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-003751
IL
363A00000X
Physician Assistant
5334
WI
363AS0400X
Surgical Physician Assistant
Primary
085003751
IL
Other
Enumeration date
07/12/2010
Last updated
05/04/2026
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