Organization
SME ILLINOIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA HAGLUND MD (OWNER)
(847) 962-3325
Entity
Organization
Contact information
Practice address
332 S MICHIGAN AVE, CHICAGO, IL 60604-4434
(847) 962-3325
Mailing address
4321 COLLINGTON RD, BOWIE, MD 20716-2259
(847) 962-3325
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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