Stack, Melinda Ellen

Stack, Melinda Ellen is an individual health care provider with primary practice located at 5140 N California Ave Ste 560 , Chicago IL 60625-2577. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Stack, Melinda Ellen can be contacted via phone (847) 570-1700.

Contact Information

Primary practice address
5140 N California Ave Ste 560 Chicago IL 60625-2577
Phone: (847) 570-1700
Fax: (847) 982-1098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 036135948 Illinois

Profile Details

NPI number 1215223490
LBN Legal business name Stack, Melinda Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2011
Last updated Oct 14th, 2021 - 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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