SearchIllinois363L00000X

Melissa Wisslead

NPI 1124470091 · on the registry since 2016 · sole proprietor

Practice

Address
110 E Market St
Colchester, IL 62326
Phone
(319) 776-3301
Fax
(309) 776-3370
Organisation at this address
Memorial Hospital Association
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois