Dianovsky, Melissa Ann

Dianovsky, Melissa Ann is an individual health care provider with primary practice located at 1614 W. Central Road Suite 209, Arlington Heights IL 60005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dianovsky, Melissa Ann can be contacted via phone (847) 259-5070.

Contact Information

Primary practice address
1614 W. Central Road Suite 209 Arlington Heights IL 60005
Phone: (847) 259-5070
Fax: (847) 259-5322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036090172 Illinois

Profile Details

NPI number 1306848858
LBN Legal business name Dianovsky, Melissa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Feb 4th, 2020 - about 4 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 1306848858 NPPES
Illinois MEDICAID 036090172

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