Most Relevant Information
Provider Data
| NPI Number: | 1003655119 |
| Provider Name: | ANDREW MAX MELCHIORIS MD, MBA |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 125.083685 |
Most Important Dates
| Enumeration Date: | 05/20/2024 |
| Last Updated: | 05/20/2024 |
Provider Practice Location
1620 W HARRISON ST
CHICAGO
IL
606123801
Practice Location Phone/Fax
| Phone: | 3149425000 |
| Fax: |
Provider Mailing Location
1620 W HARRISON ST
CHICAGO
IL
606123801
Provider Mailing Phone/Fax
| Phone: | 3149425000 |
| Fax: |
Suggested EMR
Internist EMR