Individual
MELISSA KATHRYN DEMIGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 234-5600
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-6868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006246
IL
Other
Enumeration date
05/11/2017
Last updated
03/17/2018
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