Individual
MELINDA LAURA BURRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2118 N HALSTED ST, CHICAGO, IL 60614-0758
(773) 482-0020
Mailing address
1000 S CLARK ST UNIT 1610, CHICAGO, IL 60605-2194
(765) 465-9279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041476177
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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