Melissa Kate Modro, PA-C
NPI #1104453638 in Highland Park, Illinois
Provider Information
- NPI Number
- 1104453638
- Entity Type
- Individual
- Name
- Melissa Kate Modro, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 25, 2020
- Last Updated
- Nov 18, 2020
Practice Location
- Address
- 777 PARK AVE W STE B131A
- City
- Highland Park
- State
- Illinois
- ZIP Code
- 60035-2433
- Phone
- (847) 926-8584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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