Individual
MELISSA M GHANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12610 S MICHIGAN AVE, CHICAGO, IL 60628-7336
(773) 595-5950
Mailing address
12610 S MICHIGAN AVE, CHICAGO, IL 60628-7336
(773) 595-5950
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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