Organization
MELAMPUS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN FREEDMAN M.D. (PRESIDENT)
(847) 835-0277
Entity
Organization
Contact information
Practice address
277 SYLVAN RD, GLENCOE, IL 60022-1225
(847) 835-0277
(847) 835-0277
Mailing address
277 SYLVAN RD, GLENCOE, IL 60022-1225
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
036035290
IL
Other
Enumeration date
07/04/2009
Last updated
07/04/2009
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