Individual provider · Type 1 NPI

Melissa Lee Dezoute, PA-C

Surgical Physician Assistant · Naperville, IL

NPI number 1669814349 Active

Practice location

100 Spalding Dr Ste 206
Naperville, IL 60540-6552

Mailing address

4201 Winfield Rd
Warrenville, IL 60555-4025

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085004714 (IL)
Physician Assistant 363A00000X085004714 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1669814349

Melissa Lee Dezoute, PA-C's National Provider Identifier is 1669814349, issued on Jul 23, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Naperville, IL. The record was last updated on Mar 20, 2026.