Organization
DR. MELISSA CINQUEGRANI LLC
Active
Other names
Rosewood Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA ANN CINQUEGRANI-PENCE PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(630) 441-7063
Entity
Organization
Contact information
Practice address
700 COMMERCE DR, OAK BROOK, IL 60523-1546
(630) 441-7063
Mailing address
700 COMMERCE DR, OAK BROOK, IL 60523-1546
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071.008699
LICENSE NUMBER
IL
01
—
1629409651
NPI1 NUMBER
IL
Enumeration date
06/19/2020
Last updated
09/30/2020
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