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1215223490
MELINDA ELLEN STACK
CHICAGO, IL
NPI
1215223490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: IL 036135948)
Enumeration Date
2011-06-25
Last Update Date
2021-10-14
Business Address
MELINDA ELLEN STACK M.D.
5140 N CALIFORNIA AVE STE 560
CHICAGO, IL 60625-2577
Phone number: 847-570-1700
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Mailing Address
MELINDA ELLEN STACK M.D.
5140 N CALIFORNIA AVE STE 560
CHICAGO, IL 60625-2577
Phone number: 847-570-1700
Copy
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