Healthcare Provider Details

I. General information

NPI: 1811800899
Provider Name (Legal Business Name): MELISSA I TROUT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N WINFIELD RD
WINFIELD IL
60190-1379
US

IV. Provider business mailing address

900 S WALNUT AVE
ARLINGTON HEIGHTS IL
60005-2310
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-2600
  • Fax:
Mailing address:
  • Phone: 847-809-0593
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number041438240
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: