Individual
DR. JIRI GEORGE MELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
903 S ASHLAND AVE APT 815, CHICAGO, IL 60607-4188
(312) 434-8273
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
125064239
IL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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