Weller, Melanie K

Weller, Melanie K is an individual health care provider with primary practice located at 404 Lathrop , River Forest IL 60305. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Weller, Melanie K can be contacted via phone (708) 383-5667.

Contact Information

Primary practice address
404 Lathrop River Forest IL 60305
Phone: (708) 383-5667
Fax: (708) 771-2735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1407929342
LBN Legal business name Weller, Melanie K
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 19 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 1407929342 NPPES
Illinois Other 0001607945 BLUE CROSS BLUE SHIELD
Illinois Other 0007518211 BLUE CROSS BLUE SHIELD

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