Individual
DR. ALFONSO V MELLIJOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2361 PAYSPHERE CIRCLE, CHICAGO, IL 60674
(847) 746-4358
Mailing address
2520 ELISHA AVENUE, ZION, IL 60099
(847) 872-6259
(847) 872-5716
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2086X0206X
Surgical Oncology Physician
Primary
036.062224
IL
Other
Enumeration date
12/28/2005
Last updated
03/06/2015
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