Provider Demographics
NPI:1760687263
Name:MELAHN, ROBYN RUNGE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:RUNGE
Last Name:MELAHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17N463 OAK KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:DUNDEE
Mailing Address - State:IL
Mailing Address - Zip Code:60118-9383
Mailing Address - Country:US
Mailing Address - Phone:224-422-9689
Mailing Address - Fax:224-783-1355
Practice Address - Street 1:1425 N RANDALL RD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-2300
Practice Address - Country:US
Practice Address - Phone:224-783-2325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-118549207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine