Individual provider Active NPI

Melissa Jean Reeves, MD

  • Internal Medicine Physician
  • Libertyville, IL
National Provider Identifier
1942212311
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036100559 Issued in IL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0001633810OtherILBC PROVIDER NUMBER
209634OtherILMEDICARE PTAN

Other names 1

  • Melissa Jean Haglund Former name

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036100559ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Robledo MD SC Internal Medicine CurrentSince Jul 1, 2004 Accepting new patients
Sme Kansas P.a. CurrentSince Dec 17, 2023 Accepting new patients
Vpa PC Internal Medicine Past Accepting new patients
North Shore Medicine S C Internal Medicine PastSince May 1, 1998 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.

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

Verify at the official NPI Registry.