Individual
FAITHE METELLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S NORTHWEST HWY STE 110, PARK RIDGE, IL 60068-4237
(224) 985-5824
Mailing address
1636 FERNDALE AVE, NORTHBROOK, IL 60062-3708
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041.548385
IL
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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