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Individual

DR. MELISSA LEIGH LARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1725 W HARRISON ST, SUITE 809, CHICAGO, IL 60612-3841
(312) 563-2320
Mailing address
1725 W HARRISON ST, SUITE 809, CHICAGO, IL 60612-3841
(312) 563-2320

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
036108941
IL

Other

Enumeration date
03/25/2006
Last updated
09/16/2011
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