Provider Demographics
NPI:1780802991
Name:TURNER, MELISSA L (MD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:L
Last Name:TURNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MELISSA
Other - Middle Name:LYNN
Other - Last Name:LYDIGSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1614 W. CENTRAL ROAD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:ARLINGTON HTS.
Mailing Address - State:IL
Mailing Address - Zip Code:60005
Mailing Address - Country:US
Mailing Address - Phone:847-259-5070
Mailing Address - Fax:847-259-5322
Practice Address - Street 1:1614 W. CENTRAL ROAD
Practice Address - Street 2:SUITE 209
Practice Address - City:ARLINGTON HTS.
Practice Address - State:IL
Practice Address - Zip Code:60005
Practice Address - Country:US
Practice Address - Phone:847-259-5070
Practice Address - Fax:847-259-5322
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036122502208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics