Individual
NATALIE MELLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
155 N HARBOR DR, CHICAGO, IL 60601-7364
(563) 258-1553
Mailing address
4607 N CLAREMONT AVE, CHICAGO, IL 60625-2053
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001463
IL
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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