Doctor Name: | MELISSA HILB |
NPI Number: | 1023046299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 209005980 |
Business Practice Address: | 900 N Westmoreland Rd Suite 110 Lake Forest, IL - 600451674 |
Business Phone Number: | 8472951220 |
Business Fax Number: | 8472951255 |
Mailing Address: | 900 N Westmoreland Rd, Suite 110 LAKE FOREST |
State: | IL |
Postal Code: | 600451674 |
Phone Number: | 8472951220 |
Fax Number: | 8472951255 |
NPI Enumeration Date: | 06/28/2006 |
NPI Last Update Date: | 08/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 209005980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |