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1720256886
LISA J MELNICK
PARK RIDGE, IL
NPI
1720256886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085002086)
Enumeration Date
2008-02-12
Last Update Date
2008-02-12
Business Address
-- LISA J MELNICK
1600 W DEMPSTER ST
PARK RIDGE, IL 60068-1109
Phone number: 847-299-7888
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Mailing Address
-- LISA J MELNICK
1600 W DEMPSTER ST
PARK RIDGE, IL 60068-1109
Phone number: 847-299-7888
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