Individual provider · Type 1 NPI

Melissa J. Patenio, DDS

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1558565481 Active

Practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

7940 E Prairie Rd
Skokie, IL 60076-3449

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1558565481

Melissa J. Patenio, DDS's National Provider Identifier is 1558565481, issued on Jun 13, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.