Individual
MELANIE CLAIRE DISPENZA
Active
Individual
MELANIE CLAIRE DISPENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D, PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036140029
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
036140029
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
D87781
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036140029
MEDICAL LICENSE
IL
Enumeration date
04/02/2013
Last updated
08/14/2019
Update your record
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