Individual
MELISSA ANN MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611-2929
(312) 926-0159
(312) 695-4955
Mailing address
676 N SAINT CLAIR ST STE 650, CHICAGO, IL 60611-2929
(312) 926-0159
(312) 695-4955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008746
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/21/2020
Last updated
01/03/2024
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