Individual
MELANIE B FUKUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
880 W. CENTRAL RD. #7400, ARLINGTON HEIGHTS, IL 60005-2355
(847) 618-4430
(847) 618-0786
Mailing address
880 W. CENTRAL RD. #7400, ARLINGTON HEIGHTS, IL 60005-2355
(847) 618-4430
(847) 618-0786
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036159486
IL
2085R0202X
Diagnostic Radiology Physician
MD041474L
PA
Other
Enumeration date
07/15/2005
Last updated
05/26/2022
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