Individual
EDWARD MELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 2944), MAYWOOD, IL 60153
(708) 216-2575
(708) 216-5924
Mailing address
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 2944), MAYWOOD, IL 60153
(708) 216-2575
(708) 216-5924
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
36086834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36086834
—
IL
Enumeration date
12/30/2005
Last updated
04/23/2021
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