Individual
MELISSA CHUMBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2304 COUNTY ROAD 3000 N, GIFFORD, IL 61847-9756
(217) 568-7362
(217) 568-7314
Mailing address
550 FRONTAGE RD STE 2415, NORTHFIELD, IL 60093-1212
(847) 441-5593
(847) 441-0734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-000843
IL
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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