Individual
INNA MORRIS MELNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
910 OAKTON ST APT 1, EVANSTON, IL 60202-2800
(847) 570-3249
Mailing address
910 OAKTON ST APT 1, EVANSTON, IL 60202-2800
(847) 570-3249
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000438
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
198000438
IL LICENSE
IL
Enumeration date
10/15/2008
Last updated
10/15/2008
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