Active NPI
Linda Meza
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1760561344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036110283
- Practice address
- 1859 S Blue Island Ave
Chicago, IL 60608 - Phone
- (312) 666-5455
- Fax
- (312) 733-5327
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036110283 | IL | Primary |
Addresses
Primary practice location
1859 S Blue Island Ave
Chicago, IL 60608
Mailing address
1201 W Adams St
Unit 808
Chicago, IL 60607-2867
Phone (312) 850-1583
Other practice location 1
800 E 55th St
Chicago, IL 60615-4906
Phone (773) 702-0660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036110283 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friend Family Health Center Inc | Current | Accepting new patients | |
| Friend Family Health Center Inc | Current | Accepting new patients | |
| Friend Family Health Center Inc | Current | Accepting new patients |
Locations
800 E 55th St
Chicago, IL 60615
Phone (773) 702-2193
1522 E 63rd St
Chicago, IL 60637
Phone (773) 795-2260
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1578560090
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1477175305
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1891921623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1760561344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W ADAMS ST",
"address_2": "UNIT 808",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072867",
"telephone_number": "312-850-1583",
"fax_number": "312-733-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1859 S BLUE ISLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608",
"telephone_number": "312-666-5455",
"fax_number": "312-733-5327"
}
],
"practiceLocations": [
{
"address_1": "800 E 55th St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606154906",
"country_code": "US",
"telephone_number": "773-702-0660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEZA",
"first_name": "LINDA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036110283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.