Individual
MELISA HOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
IL
363AS0400X
Surgical Physician Assistant
Primary
085010787
IL
Other
Enumeration date
08/27/2024
Last updated
10/30/2024
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