Individual
MR. RICHARD ALLEN MELODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST/CFA
Contact information
Practice address
2900 N. LAKE SHORE DRIVE, CHICAGO, IL 60657
(773) 665-3200
Mailing address
2900 N. LAKE SHORE DRIVE, CHICAGO, IL 60657
(773) 665-3200
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000270
IL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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