Individual
MELISSA BEALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ERIE CT STE 6040, OAK PARK, IL 60302-2510
(708) 386-1301
(708) 386-3053
Mailing address
1430 TULANE AVE, SL-11, NEW ORLEANS, LA 70112-2632
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD-56370
IA
207VG0400X
Gynecology Physician
Primary
036143475
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
05/02/2013
Last updated
01/19/2026
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