Organization
EUGENE P MELE II PSY D PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE P MELE PSY.D. (NEUROPSYCHOLOGIST)
(312) 203-8549
Entity
Organization
Contact information
Practice address
410 S MICHIGAN AVE, #707, CHICAGO, IL 60605-1308
(312) 203-8549
(773) 728-7760
Mailing address
410 S MICHIGAN AVE, #707, CHICAGO, IL 60605-1308
(312) 203-8549
(773) 728-7760
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634589
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/13/2006
Last updated
03/07/2016
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