Individual provider · Type 1 NPI

Melissa Manzuk, PA

Surgical Physician Assistant · Chicago, IL

NPI number 1053623686 Active

Practice location

3134 N Clark St
Chicago, IL 60657-4414

Other practice locations

  • 6434 W North Ave, Chicago, IL 60707-4030 · (773) 880-9722
  • 1000 Central St Ste 730, Evanston, IL 60201-1779 · (847) 570-2868

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5334 (WI)
Physician Assistant 363A00000X085-003751 (IL)
Surgical Physician Assistant Primary 363AS0400X085003751 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1053623686

Melissa Manzuk, PA's National Provider Identifier is 1053623686, issued on Jul 12, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chicago, IL. The record was last updated on May 4, 2026.