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NPI Code Detail

MEDICARE: THOMAS MELECIO

MEDICARE:   THOMAS  MELECIO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1356209225
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS MELECIO
Provider Business Mailing Address
First Line : 301 S WALL ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-3240
Country : US
Telephone Number : 618-252-9036
Fax Number :
Provider Business Practice Location Address
First Line : 301 S WALL ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-3240
Country : US
Telephone Number : 618-252-9036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ THOMAS MELECIO ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.