Melissa Susan Nielsen in Crystal Lake - Pediatrics
Melissa Susan Nielsen - NPI 1255403424
Melissa Susan Nielsen is a Pediatrics in Crystal Lake, Illinois. Melissa Susan Nielsen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Melissa Susan Nielsen is 1255403424. The last update date is 2007-07-08.
Melissa Susan Nielsen's current location address is 1095 Pingree Rd, Crystal Lake, Illinois. You can contact this provider via phone number 8474588890 and fax number 8474588889. The mailing address for Melissa Susan Nielsen is 1095 Pingree Rd, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Susan Nielsen |
|---|---|
| Address | 1095 Pingree Rd, Crystal Lake, Illinois |
| Phone Number | 8474588890 |
| Fax Number | 8474588889 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1255403424 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1095 Pingree Rd |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600141725 |
| Phone Number | 8474588890 |
| Fax Number | 8474588889 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Post Comment/ Review Below
What is the unique identifier code issued to Melissa Susan Nielsen by the Centers for Medicare & Medicaid Services (CMS)?
The Melissa Susan Nielsen has been assigned the NPI (National Provider Identifier) 1255403424. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Melissa Susan Nielsen is physically located?
The Melissa Susan Nielsen is situated at the following address: 1095 Pingree Rd, Crystal Lake, IL 600141725.
What is Melissa Susan Nielsen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Melissa Susan Nielsen's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 2251P0200X.
When was the Melissa Susan Nielsen's 1255403424 issued?
The Melissa Susan Nielsen's 1255403424 was issued on 2006-11-14.
When was the information regarding Melissa Susan Nielsen most recently updated?
The details pertaining to the Melissa Susan Nielsen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.