Provider Demographics
NPI:1598812414
Name:MELONE, PAULA JOYCE (D,O)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:JOYCE
Last Name:MELONE
Suffix:
Gender:F
Credentials:D,O
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7222
Mailing Address - Country:US
Mailing Address - Phone:630-978-6200
Mailing Address - Fax:
Practice Address - Street 1:2020 OGDEN AVE STE 260
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-5896
Practice Address - Country:US
Practice Address - Phone:630-898-6409
Practice Address - Fax:630-898-3646
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.117272207VM0101X
CACA20A5425207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036.117272Medicaid
CAF40051Medicare UPIN
ILF40051Medicare UPIN
ILK37734Medicare PIN