House, Melissa Ray

House, Melissa Ray is an sole proprietor health care provider with primary practice located at 900 N Westmoreland Rd Ste 112 , Lake Forest IL 60045-1674. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. House, Melissa Ray can be contacted via phone (847) 535-7057.

Contact Information

Primary practice address
900 N Westmoreland Rd Ste 112 Lake Forest IL 60045-1674
Phone: (847) 535-7057
Fax: (847) 615-2260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 209016864 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209016864 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 277001224 Illinois

Profile Details

NPI number 1134632516
LBN Legal business name House, Melissa Ray
Credentials APRN, CNM, WHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2017
Last updated Sep 16th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134632516 NPPES
Illinois MEDICAID PENDING

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