Individual
MELISSA L. VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
908 N ELM ST, SUITE 306, HINSDALE, IL 60521-3635
(630) 323-5214
Mailing address
908 N ELM ST, SUITE 306, HINSDALE, IL 60521-3635
(630) 323-5214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003777
IL
Other
Enumeration date
09/11/2012
Last updated
03/07/2017
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