Provider Demographics
NPI:1053340992
Name:ASPINWALL, MELODY (NP)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:ASPINWALL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11361 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:WATERMAN
Mailing Address - State:IL
Mailing Address - Zip Code:60556-7106
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:512 E OGDEN AVE
Practice Address - Street 2:HEARTLAND CARE PARTNERS / MCHS WESTMONT
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1228
Practice Address - Country:US
Practice Address - Phone:800-375-5495
Practice Address - Fax:800-564-5952
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.004537363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner