NPI 1043630049

Melissa L Wingo, PAC

Practitioner Physician Assistant Downers Grove, IL

Practice location

Address: 3010 Highland Pkwy STE 550, Downers Grove, IL 60515-5500
Phone: (630) 724-1100
Fax: (630) 724-0084
Mailing address: 1503 Watkins Ln Unit 208, Naperville, IL 60540-7248

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085.004887 (IL)

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Registry record

NPI: 1043630049
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2014
Record last updated: 31 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.