MEDICARE: MELISSA A RUEMELIN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	070020894	IL

General Provider Information

NPI Number	:	1205546298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA A RUEMELIN DPT

Provider Business Mailing Address
First Line	:	PO BOX 735263
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-5263
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 S EASTWOOD DR
Second Line	:
City	:	WOODSTOCK
State	:	IL
Zip	:	60098-3519
Country	:	US
Telephone Number	:	815-398-9491
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2022
Last Update Date	:	06/16/2026

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