Individual
DR. COLT LESLEY MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(312) 351-1446
Mailing address
1474 W CARMEN AVE APT 2, CHICAGO, IL 60640-2813
(312) 351-1446
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125055442
IL
207P00000X
Emergency Medicine Physician
Primary
P6222
TX
Other
Enumeration date
09/19/2008
Last updated
08/22/2023
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