Individual
KINSEY MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 799-8000
Mailing address
17800 KEDZIE AVE, HAZEL CREST, IL 60429-2029
(708) 799-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041400850
IL
363L00000X
Nurse Practitioner
Primary
209.016741
IL
363LA2100X
Acute Care Nurse Practitioner
209.016741
IL
363LA2200X
Adult Health Nurse Practitioner
209.016741
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
209.016741
IL
363LG0600X
Gerontology Nurse Practitioner
209.016741
IL
Other
Enumeration date
07/09/2017
Last updated
09/12/2024
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