Individual provider Active NPI

Dominique Reeves, MD

  • Family Medicine Physician
  • Chicago Heights, IL
National Provider Identifier
1770166647
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.167732 Issued in IL
Practice address
222 Vollmer Rd Ste 2a
Chicago Heights, IL 60411-1892
Phone
(708) 480-9730
Fax
(877) 522-7815
NPI assigned
Apr 29, 2021
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.167732 IL Primary

Addresses

Primary practice location

222 Vollmer Rd Ste 2a
Chicago Heights, IL 60411-1892

Mailing address

222 Vollmer Rd Ste 2a
Chicago Heights, IL 60411-1892
Phone (708) 480-9730

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241114004462 IL Practitioner - Family Practice 5698177988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.167732ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McGowan Family Health & Wellness Center P.C. Family Medicine CurrentSince Sep 8, 2024 Accepting new patients

Locations

222 Vollmer Rd
Ste 2A
Chicago Heights, IL 60411
Phone (708) 480-9730

19710 Governors Hwy
Ste 2
Homewood, IL 60422
Phone (708) 480-9730

Interoperability endpoints

  • Direct secure messaging: dreeves293724@direct.myadvocateaurora.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1770166647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 VOLLMER RD STE 2A",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111892",
            "telephone_number": "708-480-9730",
            "fax_number": "877-522-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 VOLLMER RD STE 2A",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111892",
            "telephone_number": "708-480-9730",
            "fax_number": "877-522-7815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "DOMINIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.167732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

Verify at the official NPI Registry.