Samantha Melillo
NPI #1346796778 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1346796778
- Entity Type
- Individual
- Name
- Samantha Melillo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Aug 26, 2016
- Last Updated
- Aug 26, 2016
Practice Location
- Address
- 2070 OAK TREE TRL
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046-7569
- Phone
- (224) 436-0066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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