Individual
GRAHAM MELICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(847) 578-3000
Mailing address
3505 GREEN BAY RD APT 305B, NORTH CHICAGO, IL 60064-3631
(978) 500-4375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1016010
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
0024196640
VA
367500000X
Certified Registered Nurse Anesthetist
APN.1000888-CRNA
CO
Other
Enumeration date
09/01/2023
Last updated
05/11/2026
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