Individual
MELISSA WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
19627 S LA GRANGE RD, MOKENA, IL 60448-9360
(708) 326-1632
(708) 326-1672
Mailing address
19627 S LA GRANGE RD, MOKENA, IL 60448-9360
(708) 326-1632
(708) 326-1672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-229441
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209-001967
IL
Other
Enumeration date
01/19/2007
Last updated
03/12/2015
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