Individual
DOUGLAS EDWARD MELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
621 MAIN ST, MAQUON, IL 61458-5010
(309) 256-6626
Mailing address
621 MAIN ST, MAQUON, IL 61458-5010
(309) 256-6626
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043101716
IL
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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