Individual
LUKE WALTER MELLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3318 N DAMEN AVE UNIT 3, CHICAGO, IL 60618-6215
(312) 320-6185
Mailing address
3318 N DAMEN AVE UNIT 3, CHICAGO, IL 60618-6215
(312) 320-6185
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041.371240
IL
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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