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NPI Code Detail

MEDICARE: MELISSA CRONNOLLY

MEDICARE: MELISSA CRONNOLLY
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
1235Z00000XSpeech-Language Pathologist242.008376IL

General Provider Information

NPI Number : 1275415143
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA CRONNOLLY
Provider Business Mailing Address
First Line : 1219 LINDEN AVE
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-5521
Country : US
Telephone Number : 312-656-2992
Fax Number :
Provider Business Practice Location Address
First Line : 1660 OAKTON PL
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-2045
Country : US
Telephone Number : 847-299-5588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2025
Last Update Date : 07/22/2025

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Directions to “ MELISSA CRONNOLLY ” Practice Location

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