Individual
MELISSA ALEJANDRA MEJIA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
RESIDENCIAL QUINTAS CALIFORNIA, BLOCK C,#2,CARRETERA A ACAJUTLA, SONSONATE, SONSONATE 00000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.159362
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125.073979
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
12/07/2024
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