Mesha N McQueen, PA-C, MMS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

10432 S Torrence Ave
Chicago, IL 60617-5756

Phone

(773) 459-6253

Fax

(773) 768-4161

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306991690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10432 S TORRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606175756",
            "telephone_number": "773-459-6253",
            "fax_number": "773-768-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10432 S TORRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606175756",
            "telephone_number": "773-459-6253",
            "fax_number": "773-768-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "MESHA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PA-C, MMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa McQueen
• Angela McQueen
• Caitlin McQueen, LPC
• Jennifer Legge McQueen, M.S., CCC-SLP/L
• Melanie McQueen
• Julia McQuerry
• Brendan McQuillen, MD
• Ryan Donald McQuillen, M.D.
• Megan Ryan McQuillin
• Beth McQuiston, MD, RD

• Medical Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.