Ketchmark, Melanie
Ketchmark, Melanie is an individual health care provider with primary practice located at 8200 Roosevelt Rd , Forest Park IL 60130-2528. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ketchmark, Melanie can be contacted via phone (708) 850-4889.Contact Information
Primary practice address
8200 Roosevelt Rd
Forest Park IL 60130-2528
Phone: (708) 850-4889
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1285365940 |
|---|---|
| LBN Legal business name | Ketchmark, Melanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2022 |
| Last updated | Jun 22nd, 2022 - 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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