Provider Demographics
NPI:1548290323
Name:CASTELLI, MELANIE JANE (MD)
Entity type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:JANE
Last Name:CASTELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ROBERT
Other - Middle Name:F
Other - Last Name:ZITEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:12 GLENOBLE CT
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1542
Mailing Address - Country:US
Mailing Address - Phone:708-202-2551
Mailing Address - Fax:708-202-2635
Practice Address - Street 1:5TH AVE. AND ROOSEVELT ROAD
Practice Address - Street 2:HINES VA HOSPITAL BLDG 200 ROOM D120
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-2551
Practice Address - Fax:708-202-2635
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology