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NPI Code Detail

MEDICARE: DR. MELISSA MARIE TRUDGEON D.C.

MEDICARE:  DR. MELISSA MARIE TRUDGEON  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor038011872IL

General Provider Information

NPI Number : 1447554357
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA MARIE TRUDGEON D.C.
Provider Business Mailing Address
First Line : 6234 MAIN ST
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60516-1908
Country : US
Telephone Number : 630-960-9914
Fax Number : 630-960-9924
Provider Business Practice Location Address
First Line : 6234 MAIN ST
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60516-1908
Country : US
Telephone Number : 630-960-9914
Fax Number : 630-960-9924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2011
Last Update Date : 01/06/2011

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Directions to “ DR. MELISSA MARIE TRUDGEON D.C.” Practice Location

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