Melissa Sundberg, LCSW

NPI 1992316608 · on the registry since 2020 · sole proprietor

Practice

Address: 3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269
Phone: (618) 233-5480
Fax: (618) 222-4792
Organisation at this address: Urology Of St. Louis, Inc.
Southern Illinois Healthcare Foundation Inc
St Elizabeths Hospital Of The Hospital Sisters Of The Third Order
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 107

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-07-25

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