Individual
MELISSA D NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 RIVERSIDE DR, SUITE 2100, BOURBONNAIS, IL 60914-4996
(815) 932-2541
(815) 932-9659
Mailing address
PO BOX 781, KANKAKEE, IL 60901-0781
(815) 935-7256
(815) 935-7340
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4632039
BC GROUP#
IL
Enumeration date
09/20/2006
Last updated
07/09/2007
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