Individual
MELISSA VIZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1632 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
(847) 618-2500
(847) 253-8474
Mailing address
1632 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
(847) 618-2500
(847) 253-8474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008275
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085008275
STATE LICENSE
IL
Enumeration date
04/30/2020
Last updated
06/22/2023
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