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Individual

MELISSA MAE TAMONDONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209032211
IL

Other

Enumeration date
06/14/2023
Last updated
11/07/2025
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