Healthcare Provider Details

I. General information

NPI: 1740621135
Provider Name (Legal Business Name): MELISSA A CHEW PHARM.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 SHORE DR
BURR RIDGE IL
60527-5856
US

IV. Provider business mailing address

3003 SOMME CT
JOLIET IL
60435-8567
US

V. Phone/Fax

Practice location:
  • Phone: 888-319-1818
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26022171A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051295588
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: