Active NPI
Calvin Thomas Meineke, MD
- Internal Medicine Physician
- Oak Park, IL
National Provider Identifier
1184727539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 03606488601
- Practice address
- 1100 Lake St
Ste LL40
Oak Park, IL 60301 - Phone
- (708) 383-7776
- Fax
- (708) 383-5249
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 03606488601 | IL | Primary |
Addresses
Primary practice location
1100 Lake St
Ste LL40
Oak Park, IL 60301
Mailing address
1100 Lake St
Ste LL40
Oak Park, IL 60301
Phone (708) 383-7776
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363386229 | Other | CIGNA | |
| 363386229 | Other | ALLIED | |
| 363386229 | Other | GOLDEN RULE | |
| 363386229 | Other | TRUSTMARK | |
| 4491453 | Other | AETNA | |
| IL064886 | Other | MUTUAL OF OMAHA | |
| 110012154 | Other | RRMDC | |
| 31601138 | Other | BCBS | |
| 363386229 | Other | BEECHSTREET | |
| 363386229 | Other | UNITEDHEALTHCARE | |
| 98985 | Other | WELLMARK BCBS | |
| 363386229 | Other | FIRST HEALTH | |
| 363386229 | Other | HUMANA | |
| PR2994187 | Other | CIGNA | |
| 363386229 | Other | ILLINOIS PUBLIC AID | |
| 363386229 | Other | CORESOURCE | |
| 363386229 | Other | GALLAGHER BASSETT | |
| 363386229 | Other | TIME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101203001109 | IL | Practitioner - Internal Medicine | 6800083718 | Practice locations: Oak Park, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03606488601 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients |
Locations
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
2160 S 1st Ave
#150
Maywood, IL 60153
Interoperability endpoints
- cmeineke43108@direct.luhs.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Foster G. McGaw Hospital
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786838400000",
"number": "1184727539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 LAKE ST",
"address_2": "STE LL40",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60301",
"telephone_number": "708-383-7776",
"fax_number": "708-383-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 LAKE ST",
"address_2": "STE LL40",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60301",
"telephone_number": "708-383-7776",
"fax_number": "708-383-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEINEKE",
"first_name": "CALVIN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2026-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "03606488601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIED",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GOLDEN RULE",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRUSTMARK",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4491453",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MUTUAL OF OMAHA",
"identifier": "IL064886",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMDC",
"identifier": "110012154",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "31601138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "98985",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "PR2994187",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS PUBLIC AID",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORESOURCE",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GALLAGHER BASSETT",
"identifier": "363386229",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TIME",
"identifier": "363386229",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.