Meadows Medical Group, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

042618432 Issued in IL

Legal business name

MEADOWS MEDICAL GROUP, LTD

Practice address

1170 E Belvidere Rd
Suite 209
Grayslake, IL 60030-2034

Phone

(847) 231-6026

Fax

(847) 231-6029

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Vina M Maniquis, M.D.

Title

Doctor

Phone

(847) 231-6026

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1144347352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 E BELVIDERE RD",
            "address_2": "SUITE 209",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302034",
            "telephone_number": "847-231-6026",
            "fax_number": "847-231-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BELVIDERE RD",
            "address_2": "SUITE 209",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302034",
            "telephone_number": "847-231-6026",
            "fax_number": "847-231-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS MEDICAL GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MANIQUIS",
        "authorized_official_first_name": "VINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "847-231-6026",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042618432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4932372",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Katherine McLane, M.S. CCC-SLP
• Maureen McLaughlin, DIPL. AC.
• Mary McLin, RN
• Chelsey McSwain
• Francesca Therese Meade
• Medline Industries, LP
• Hannah Melnick, MOT, OTR/L
• Albert Mendelson, M.D.
• Linda Mergenthaler
• Jeremy Messinger

• Family Medicine Physician in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.