Individual
MELISSA MAE KILIANEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 855-7021
Mailing address
555 31ST ST, DOWNERS GROVE, IL 60515-1235
(800) 458-6253
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
125084853
IL
Other
Enumeration date
03/17/2023
Last updated
07/25/2024
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