Individual
DR. MELISSA MARISCAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 355-0510
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0361711777
IL
2084V0102X
Vascular Neurology Physician
Primary
0361711777
IL
Other
Enumeration date
05/11/2019
Last updated
08/22/2025
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