Active NPI
Mark E McKeigue, DO
- Family Medicine Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036056879
- Practice address
- 10755 W 163Rd Place
Orland Park, IL 60467-8861 - Phone
- (708) 873-1187
- Fax
- (708) 873-1204
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036056879 | IL | Primary |
Addresses
Primary practice location
10755 W 163Rd Place
Orland Park, IL 60467-8861
Mailing address
10755 W 163Rd Place
Orland Park, IL 60467-8861
Phone (708) 873-1187
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036056879 | Medicaid | IL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Chicago College of Osteopathy, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1890 Silver Cross Blvd
Suite 265
New Lenox, IL 60451-9623
Phone (815) 727-4292
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036056879 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Susan Rife Family Medicine SC | Family Medicine | Current | Accepting new patients |
| Health Service Systems, Inc | Family Medicine | Current | Accepting new patients |
| Health Service Systems, Inc | Current | Accepting new patients | |
| Osteopathic Sports Medicine, S.C. | Past | Accepting new patients |
Locations
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292
10755 163rd Pl
Orland Park, IL 60467
Phone (708) 873-1187
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- New Lenox, IL
- NPI 1851323257
Family Medicine
-
- Family Medicine Physician
- Orland Park, IL
- NPI 1184602880
-
- Urgent Care Clinic/Center
- Mokena, IL
- NPI 1578235800
-
- Internal Medicine Physician
- Willowbrook, IL
- NPI 1710088703
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1962480657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10755 W 163RD PLACE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678861",
"telephone_number": "708-873-1187",
"fax_number": "708-873-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10755 W 163RD PLACE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604678861",
"telephone_number": "708-873-1187",
"fax_number": "708-873-1204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEIGUE",
"first_name": "MARK",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036056879",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036056879",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.