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Karen L Reeves, PA

Individual provider Active NPI Surgical Physician Assistant · Hines, IL

NPI 1730104746 · NPPES record last updated Apr 16, 2025

Key facts

NPI
1730104746
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
085.002489 (IL)
Practice address
5000 S 5TH Ave
Hines, IL 60141-3030
Phone
(708) 202-7241
Fax
(708) 202-7842
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085-002489ILMDPhysician Assistant
085.002489ILMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dhanalakshmi P. Ganesan M.D.S.C Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 085.002489 IL Yes
Physician Assistant 363A00000X 085-002489 IL

Addresses

Primary practice location

5000 S 5TH Ave
Hines, IL 60141-3030

Mailing address

900 Rand Rd
Suite 120
Des Plaines, IL 60016-2359
Phone (847) 823-3185

Other names

  • Karen L Cox Former name

Other providers in Hines, IL

All providers in Hines, IL · Surgical Physician Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.