Individual
MELISA MARCOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9301 ETHYL LN, TINLEY PARK, IL 60487-9506
(708) 307-1992
Mailing address
9301 ETHYL LN, TINLEY PARK, IL 60487-9506
(708) 307-1992
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018086
IL
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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