Individual
MELISSA CARLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2242 W HARRISON ST, STE 204, CHICAGO, IL 60612-3719
(312) 996-7708
(312) 413-0503
Mailing address
845 S DAMEN AVE, M/C 802, CHICAGO, IL 60612-3727
(312) 413-0054
(312) 996-4979
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209008630
IL
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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