Individual
MELANIE MARIA PAVLOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2501 CHATHAM RD, SPRINGFIELD, IL 62704-4188
(217) 787-8870
(217) 787-6158
Mailing address
2501 CHATHAM RD, SPRINGFIELD, IL 62704-4188
(217) 787-8870
(217) 787-6158
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164005487
IL
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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