NPIMap

Organization Active NPI

Healthy Living Concepts

  • Family Medicine Physician
  • Hazel Crest, IL
National Provider Identifier
1003057712
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-099950 Issued in IL
Legal business name
HEALTHY LIVING CONCEPTS
Practice address
11 Carrington CT
Hazel Crest, IL 60429-2516
Phone
(773) 610-0595
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michelle Sara Meeks, M.D.
Title
Director
Phone
(773) 610-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036-099950 IL Primary

Addresses

Primary practice location

11 Carrington CT
Hazel Crest, IL 60429-2516

Mailing address

11 Carrington CT
Hazel Crest, IL 60429-2516
Phone (773) 610-0595

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1003057712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CARRINGTON CT",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292516",
            "telephone_number": "773-610-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CARRINGTON CT",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292516",
            "telephone_number": "773-610-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY LIVING CONCEPTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "SARA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-610-0595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-099950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.