Individual
MELISSA GO MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Mailing address
705 HARVEST LN, MT PROSPECT, IL 60056-2684
(224) 659-0349
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036166181
IL
Other
Enumeration date
04/22/2015
Last updated
11/22/2023
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