Individual
MELISSA WICKART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-1000
Mailing address
251 E HURON ST, F5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 695-9013
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209008486
IL
Other
Enumeration date
11/17/2010
Last updated
05/12/2017
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