Healthcare Provider Details

I. General information

NPI: 1154279396
Provider Name (Legal Business Name): MELISSA RINTZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 05/31/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 N RANDALL RD STE 309
ELGIN IL
60123-2304
US

IV. Provider business mailing address

1435 N RANDALL RD STE 309
ELGIN IL
60123-2304
US

V. Phone/Fax

Practice location:
  • Phone: 847-401-0898
  • Fax:
Mailing address:
  • Phone: 847-741-5850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209035064
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: