MELINDA ALISA AMORNWICHET

CHICAGO, IL
NPI1619555489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  036167391)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-31
Last Update Date2024-10-17
Business Address
MELINDA ALISA AMORNWICHET MD
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
Mailing Address
MELINDA ALISA AMORNWICHET MD
840 S WOOD ST
CHICAGO, IL 60612-4325
Phone number: 866-600-2273