Individual
CHESTER J. MELLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
698 FEATHERSTONE RD, ROCKFORD, IL 61107-6303
(815) 398-3277
(815) 484-7001
Mailing address
698 FEATHERSTONE RD, ROCKFORD, IL 61107-6303
(815) 398-3277
(815) 484-7001
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036045491
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036045491
—
IL
Enumeration date
01/18/2006
Last updated
09/21/2011
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