Active NPI
Melissa Jean Reeves, MD
- Internal Medicine Physician
- Libertyville, IL
National Provider Identifier
1942212311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036100559
- Practice address
- 4501 West Westchester Lane
Libertyville, IL 60048 - Phone
- (847) 962-3325
- Fax
- (847) 872-5716
- NPI assigned
- Aug 13, 2006
- Last updated
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 036100559 | IL | Primary |
Addresses
Primary practice location
4501 West Westchester Lane
Libertyville, IL 60048
Mailing address
4501 West Westchester Lane
Libertyville, IL 60048
Phone (847) 962-3325
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001633810 | Other | IL | BC PROVIDER NUMBER |
| 209634 | Other | IL | MEDICARE PTAN |
Other names 1
- Melissa Jean Haglund
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036100559 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa Robledo MD SC | Internal Medicine | Current | Accepting new patients |
| Sme Kansas P.a. | Current | Accepting new patients | |
| Vpa PC | Internal Medicine | Past | Accepting new patients |
| North Shore Medicine S C | Internal Medicine | Past | Accepting new patients |
Locations
4711 Golf Rd
Ste 807
Skokie, IL 60076
Phone (708) 636-3767
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1407035611
-
- General Practice Physician
- Nashville, TN
- NPI 1437794302
-
- Internal Medicine Physician
- Skokie, IL
- NPI 1558549931
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Oakbrook Terrace, IL
- NPI 1174925663
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1942212311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 WEST WESTCHESTER LANE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "60048",
"telephone_number": "847-962-3325",
"fax_number": "847-872-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 WEST WESTCHESTER LANE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "60048",
"telephone_number": "847-962-3325",
"fax_number": "847-872-5716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEVES",
"first_name": "MELISSA",
"middle_name": "JEAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036100559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PROVIDER NUMBER",
"identifier": "0001633810",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "209634",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HAGLUND",
"middle_name": "JEAN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.