Individual
MELANIE VICTORIA WIELICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 EAST CHICAGO AVENUE, CHICAGO, IL 60637-1443
(312) 227-4000
Mailing address
225 EAST CHICAGO AVENUE, BOX 45, CHICAGO, IL 60611
(312) 227-1558
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.164391
IL
208000000X
Pediatrics Physician
125.075731
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2020
Last updated
07/18/2023
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