Meli Development Center in Bolingbrook - Clinical
Meli Development Center - NPI 1063565190
Meli Development Center is a Clinical in Bolingbrook, Illinois. Meli Development Center practices all healthcare services and medical treatments related to Clinical. The NPI Number for Meli Development Center is 1063565190. The last update date is 2008-05-22.
Meli Development Center's current location address is 542 E Boughton Rd, Bolingbrook, Illinois. You can contact this provider via phone number 6307831850. The mailing address for Meli Development Center is 542 E Boughton Rd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Meli Development Center |
|---|---|
| Address | 542 E Boughton Rd, Bolingbrook, Illinois |
| Phone Number | 6307831850 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Alaba-Yusouf Melisa |
| Credentials | MA |
| Telephone Number | 6307831850 |
NPI Number Detail
| NPI Number | 1063565190 |
|---|---|
| Provider Enumeration Date | 2007-01-20 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 542 E Boughton Rd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604402181 |
| Phone Number | 6307831850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 149011369 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9932455 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique identification code assigned to Meli Development Center by the Centers for Medicare & Medicaid Services?
The Meli Development Center has been issued the NPI (National Provider Identifier) 1063565190. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Meli Development Center?
The Meli Development Center is situated at 542 E Boughton Rd, in the city of Bolingbrook, state of IL, with the zip code 604402181.
What is Meli Development Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Meli Development Center's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did Meli Development Center receive its 1063565190 assignment?
The Meli Development Center was assigned its 1063565190 on 2007-01-20, which is the date when this unique identifier was issued to the organization.
When was the Meli Development Center's information last updated?
The Meli Development Center's information was last updated on 2008-05-22.