Healthcare Provider Details

I. General information

NPI: 1942133129
Provider Name (Legal Business Name): MELODY ADINDU DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E SUPERIOR ST
CHICAGO IL
60611-4494
US

IV. Provider business mailing address

1059 WOOD STREAM DR
GRAND PRAIRIE TX
75052-8838
US

V. Phone/Fax

Practice location:
  • Phone: 312-503-8194
  • Fax:
Mailing address:
  • Phone: 972-904-5561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: