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Mellisa Thomas
NPI 1871448746 · on the registry since 2026 · sole proprietor
Practice
- Address
- 413 Watseka St
Park Forest, IL 60466 - Phone
- (773) 550-8356
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois