Individual
MRS. MELISSA WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
1900 E GOLF RD STE 950, SCHAUMBURG, IL 60173-5034
(847) 912-0314
Mailing address
8111 W 97TH ST BSMT, PALOS HILLS, IL 60465-1446
(847) 912-0324
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043105285
IL
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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