Individual
MELISA MAROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6545 CERMAK RD, BERWYN, IL 60402-2313
(708) 788-0077
Mailing address
2842 MAYFAIR AVE, WESTCHESTER, IL 60154-5009
(708) 289-2628
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209012848
IL
Other
Enumeration date
12/03/2015
Last updated
12/23/2015
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