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MELISSA J. DYE

Surgery Yellow Pages

Peoria, Illinois

Provider NPI: 1467575092

Provider Information:
 MELISSA J. DYE 


Practice Location:
2805 N KNOXVILLE AVE  PEORIA, IL 61604 US
Tel: 309-624-9400  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N364SM0705XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
Medical-Surgical
IL209-006545
Y364S00000XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
IL209-006545

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE GROUP #809840IL01
RR GROUP #CA4079IL01
RR INDIVIDUAL #P00397410IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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