Melillo, Samantha

Melillo, Samantha is an sole proprietor health care provider with primary practice located at 2070 Oak Tree Trl , Lake Villa IL 60046-7569. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Melillo, Samantha can be contacted via phone (224) 436-0066.

Contact Information

Primary practice address
2070 Oak Tree Trl Lake Villa IL 60046-7569
Phone: (224) 436-0066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1346796778
LBN Legal business name Melillo, Samantha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2016
Last updated Aug 26th, 2016 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1346796778 NPPES
Ohio Other 390200000X STUDENT IN AN ORGANIZED TRAINING HEALTHCARE ORGANIZATION TRAINING PROGRAM
Ohio Other 2255A2300X STUDENT IN AN ORGANIZED TRAINING HEALTHCARE ORGANIZATION TRAINING PROGRAM

Popular Providers