Individual
DR. MELISSA J PATENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
7940 E PRAIRIE RD, SKOKIE, IL 60076-3449
(847) 679-5736
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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