Healthcare Provider Details

I. General information

NPI: 1518517184
Provider Name (Legal Business Name): MELINDA MARQUI DC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 11/16/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37W249 DEAN ST
ST CHARLES IL
60175-4839
US

IV. Provider business mailing address

5836 BELLFLOWER BLVD
LAKEWOOD CA
90713-1058
US

V. Phone/Fax

Practice location:
  • Phone: 630-465-0459
  • Fax:
Mailing address:
  • Phone: 562-461-3998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number041410525
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041410525
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34525
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: