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Individual

MRS. MELISSA LOUISE HETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CCM

Contact information

Practice address
1340 S DAMEN AVE, SUITE 400, CHICAGO, IL 60608-1169
(800) 530-9200
(855) 582-6563
Mailing address
1340 S DAMEN AVE, SUITE 400, CHICAGO, IL 60608-1169
(800) 530-9200
(855) 582-6563

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28125209A
IN

Other

Enumeration date
01/16/2015
Last updated
01/16/2015
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