Search › Illinois › 235Z00000X
Jennifer Mellen
NPI 1821534199 · on the registry since 2017
Practice
- Address
- 1252 W Diversey Pkwy Apt 1
Chicago, IL 60614 - Phone
- (248) 425-1519
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-01-11
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