Individual
MRS. MELISSA ELLEN ROCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
836 W WELLINGTON AVE, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, FOOD AND NUTR, CHICAGO, IL 60657-5147
(773) 296-5912
(773) 296-5914
Mailing address
1255 W ADDISON ST, #3, CHICAGO, IL 60613-3818
(773) 360-7605
(773) 360-7605
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.004658
IL
Other
Enumeration date
11/25/2008
Last updated
11/26/2008
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