Healthcare Provider Details

I. General information

NPI: 1609116482
Provider Name (Legal Business Name): MELISSA YLEANA PADILLA DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2013
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 38TH AVE STE 2
MOLINE IL
61265-6717
US

IV. Provider business mailing address

5030 38TH AVE STE 2
MOLINE IL
61265-6717
US

V. Phone/Fax

Practice location:
  • Phone: 309-736-7400
  • Fax:
Mailing address:
  • Phone: 309-736-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number140324
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.024526
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: