Provider Demographics
NPI:1386606291
Name:FEE, MELISSA A (PT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:A
Last Name:FEE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:205 W WACKER DR
Mailing Address - Street 2:SUITE 1020
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-1216
Mailing Address - Country:US
Mailing Address - Phone:312-640-0329
Mailing Address - Fax:
Practice Address - Street 1:111 E OGDEN AVE
Practice Address - Street 2:111 E OGDEN AVENUE STE # 109
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3464
Practice Address - Country:US
Practice Address - Phone:630-637-0144
Practice Address - Fax:630-637-0145
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0082622251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1619980OtherBCBS OF IL
GAQ23332Medicare UPIN