Individual
MELISSA A KREITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APRN
Contact information
Practice address
1000 N WESTMORELAND RD # LEVEL3, LAKE FOREST, IL 60045-1658
(847) 535-6489
(847) 535-7150
Mailing address
1000 N WESTMORELAND RD # LEVEL3, LAKE FOREST, IL 60045-1658
(847) 535-6489
(847) 535-7150
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209010660
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209.010660
IL
Other
Enumeration date
09/15/2010
Last updated
10/04/2021
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