Healthcare Provider Details

I. General information

NPI: 1376148577
Provider Name (Legal Business Name): MELAMOR THERAPY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2020
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 LAPORTE AVE
WILMETTE IL
60091-2019
US

IV. Provider business mailing address

3223 LAKE AVENUE UNIT 15-C #175
WILMETTE IL
60091
US

V. Phone/Fax

Practice location:
  • Phone: 847-251-6495
  • Fax: 888-975-1982
Mailing address:
  • Phone: 847-251-6495
  • Fax: 888-975-1982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. MELANIE MORROW
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 847-251-6495