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NPI Code Detail

MEDICARE: MELANIE GRAY ND

MEDICARE:   MELANIE  GRAY  ND
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
1171400000XHealth & Wellness CoachIL

General Provider Information

NPI Number : 1720926983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE GRAY ND
Provider Business Mailing Address
First Line : 6710 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60626-4505
Country : US
Telephone Number : 314-775-5157
Fax Number :
Provider Business Practice Location Address
First Line : 6710 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60626-4505
Country : US
Telephone Number : 314-775-5157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ MELANIE GRAY ND” Practice Location

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