Melissa Koehler, | |
572 Lincoln Ave, Suite #3, Winnetka, IL 60093-2308 | |
(847) 501-4040 | |
Not Available |
Full Name | Melissa Koehler |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 572 Lincoln Ave, Winnetka, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033530548 | NPI | - | NPPES |
209.011071 | Other | IL | APN LICENSE |
041.415962 | Other | IL | RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041.415962 (Illinois) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 209.011071 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Melissa Koehler, 2323 Central St, Apt 3w, Evanston, IL 60201-5736 Ph: (847) 826-0903 | Melissa Koehler, 572 Lincoln Ave, Suite #3, Winnetka, IL 60093-2308 Ph: (847) 501-4040 |
Penelope Grace Ruppert, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 572b Lincoln Ave, Winnetka, IL 60093 Phone: 847-501-4040 Fax: 847-501-4075 |