Modro, Melissa Kate

Modro, Melissa Kate is an individual health care provider with primary practice located at 777 Park Ave W Ste B131A , Highland Park IL 60035-2433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Modro, Melissa Kate can be contacted via phone (847) 926-8584.

Contact Information

Primary practice address
777 Park Ave W Ste B131A Highland Park IL 60035-2433
Phone: (847) 926-8584
Fax: (847) 926-5351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085007824 Illinois

Profile Details

NPI number 1104453638
LBN Legal business name Modro, Melissa Kate
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2020
Last updated Nov 18th, 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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