Search › Illinois › 235Z00000X
Melissa Park
NPI 1972228732 · on the registry since 2022 · sole proprietor
Practice
- Address
- 810 Phaeton Pl
Normal, IL 61761 - Phone
- (847) 401-4024
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- NULL, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-04
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