Individual
MELISSA E MANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
912 NORTHWEST HWY STE 206, FOX RIVER GROVE, IL 60021-1925
(847) 516-8187
(847) 516-8235
Mailing address
2819 RAYCRAFT RD, WOODSTOCK, IL 60098-8305
(815) 790-8019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209.029618
IL
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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