Individual
MRS. MELINDA SVASTISALEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6432 W 65TH ST, CHICAGO, IL 60638-5102
(708) 288-2073
(773) 424-8180
Mailing address
6432 W 65TH ST, CHICAGO, IL 60638-5102
(708) 288-2073
(773) 424-8180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-123574
IL
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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