Individual
MELISSA LONGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
259 E ERIE ST FL 13, CHICAGO, IL 60611-3926
(312) 695-6800
Mailing address
259 E ERIE ST FL 13, CHICAGO, IL 60611-3926
(312) 695-6800
(312) 472-4870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005669
IL
Other
Enumeration date
11/16/2015
Last updated
12/06/2023
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