| Melissa Nicole Dattalo, MD, MPH | |
|
1800 N Main St Ste 219, Wheaton, IL 60187-3112 | |
| (630) 614-4960 | |
| (630) 682-3727 |
| Full Name | Melissa Nicole Dattalo |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 1800 N Main St Ste 219, Wheaton, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578705067 | NPI | - | NPPES |
| 055690400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 60700-20 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 036173580 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Hlthcare Of Wisconsin | Madison, WI | Home health agency |
| Agrace Hospicecare | Madison, WI | Hospice |
| Central Dupage Hospital | Winfield, IL | Hospital |
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Oakwood Lutheran Homes Assoc | Madison, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Nicole Dattalo, MD, MPH 1800 N Main St Ste 219, Wheaton, IL 60187-3112 Ph: (630) 614-4960 | Melissa Nicole Dattalo, MD, MPH 1800 N Main St Ste 219, Wheaton, IL 60187-3112 Ph: (630) 614-4960 |
Winston Sequeira, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7 Blanchard Cir, Suite 202, Wheaton, IL 60189 Phone: 630-653-4526 | |
Dr. Mathew Suresh Philip, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 E Willow Ave # 100, Wheaton, IL 60187 Phone: 630-946-2800 | |
Douglas A Ambler, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir Ste 206, Wheaton, IL 60189 Phone: 630-653-0848 Fax: 630-653-0988 | |
Nadia Khan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir, Wheaton, IL 60189 Phone: 630-653-0848 Fax: 630-653-0988 | |
Faiza Anjum, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir Ste 202, Wheaton, IL 60189 Phone: 630-208-6775 Fax: 630-208-7937 | |
Sonika Anand, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 140 East Loop Road, Wheaton, IL 60189 Phone: 630-665-5995 Fax: 630-665-3433 | |
Adam David Stein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 Blanchard Cir Ste 202, Wheaton, IL 60189 Phone: 630-208-6775 Fax: 630-260-0670 |