Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Melanie Marie Hosbrough, MEDTATTOOARTIST

Individual provider Specialist · NPI 1720707045

Melanie Marie Hosbrough, MEDTATTOOARTIST is a Specialist in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

5901 N Prospect Rd Ste 106
Peoria, IL 61614-4395
Phone: (309) 885-2264
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IL)
Specialist Taxonomy 174400000X · Licence 14054 (IL)

Record details

NPI number1720707045
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDTATTOOARTIST
Sole proprietorYes
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 31, 2026
Certification dateAugust 31, 2026

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