Mellin, Jennifer S

Mellin, Jennifer S is an individual health care provider with primary practice located at 518 Lucinda Ave Niu Health Services, Dekalb IL 60115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mellin, Jennifer S can be contacted via phone (815) 753-9587.

Contact Information

Primary practice address
518 Lucinda Ave Niu Health Services Dekalb IL 60115
Phone: (815) 753-9587
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036111512 Illinois

Profile Details

NPI number 1932128808
LBN Legal business name Mellin, Jennifer S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Nov 14th, 2016 - about 10 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 1932128808 NPPES
Illinois Other CE9335 RR GROUP
Illinois Other P00345212 RR GROUP

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