Individual
MERISSA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
675 W NORTH AVE, SUITE 402, MELROSE PARK, IL 60160-1634
(708) 486-2600
Mailing address
675 W NORTH AVE, SUITE 402, MELROSE PARK, IL 60160-1634
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004852
IL
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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