| Mellon Litigation Services Llc | |
|
815 N Larkin Ave Joliet IL 60435-3438 | |
| (815) 877-8741 | |
| Not Available |
| Full Name | Mellon Litigation Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 815 N Larkin Ave, Joliet, Illinois |
| Authorized Official Name and Position | Marvin Mellon (OWNER) |
| Authorized Official Contact | 2398777741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mellon Litigation Services Llc 1001 S Main St Ste 49 Kalispell MT 59901-5635 Ph: () - | Mellon Litigation Services Llc 815 N Larkin Ave Joliet IL 60435-3438 Ph: (815) 877-8741 |
| NPI Number | 1710712187 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 7315471679 |
|---|---|
| Medicare Enrollment ID | O20241108000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710712187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cory Edward Mellon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013413608 PECOS PAC ID: 9638427404 Enrollment ID: I20220119002114 |
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