Wise, Melissa Lynn

Wise, Melissa Lynn is an individual health care provider with primary practice located at 122 W Harbor Dr , Lake Zurich IL 60047. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wise, Melissa Lynn can be contacted via phone (847) 302-0833.

Contact Information

Primary practice address
122 W Harbor Dr Lake Zurich IL 60047
Phone: (847) 302-0833
Fax: (847) 438-9141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1881629319
LBN Legal business name Wise, Melissa Lynn
Credentials MS SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1881629319 NPPES
Illinois Other 5632106 BLUECROSS BLUESHIELD
Illinois Other 9387565 BLUECROSS BLUESHIELD

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