Individual
MS. MELON GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6508 S LAFLIN ST APT 101, CHICAGO, IL 60636-2812
(773) 632-6858
Mailing address
6508 S LAFLIN ST APT 101, CHICAGO, IL 60636-2812
(773) 632-6858
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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