Coderre, Melanie

Coderre, Melanie is an sole proprietor health care provider with primary practice located at 2850 S Wabash Ave , Chicago IL 60616-2955. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Coderre, Melanie can be contacted via phone (312) 842-4600.

Contact Information

Primary practice address
2850 S Wabash Ave Chicago IL 60616-2955
Phone: (312) 842-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Illinois

Profile Details

NPI number 1245760891
LBN Legal business name Coderre, Melanie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2017
Last updated Jul 11th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245760891 NPPES
Illinois Other 085.006251 ILLINOIS LICENSE

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