Individual provider Active NPI

Michelle Meeks, MD

  • Family Medicine Physician
  • Glenwood, IL
National Provider Identifier
1992704217
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-099950 Issued in IL
Practice address
19310 S Halsted St
Glenwood, IL 60425
Phone
(708) 300-3132
Fax
(708) 300-3149
NPI assigned
Jul 19, 2005
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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 036-099950 IL Primary

Addresses

Primary practice location

19310 S Halsted St
Glenwood, IL 60425

Mailing address

19310 S Halsted St
Glenwood, IL 60425-1562
Phone (708) 300-3132

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
I20040913001018 IL Practitioner - Family Practice 1759358476 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099950ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Medical Group, Inc CurrentSince Oct 30, 2021 Accepting new patients
Emerge Medstaffing LLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
PMR Illinois Holding, LLC CurrentSince Jan 1, 2022 Accepting new patients
Emerge Medstaffing LLC Current Accepting new patients
Sullivan Urgent Aid Centers, LTD Past Accepting new patients
Human Enhancement Services NFP Past Accepting new patients
South Suburban Senior Socialites, Inc Past Accepting new patients

Locations

2231 E 95th St
Chicago, IL 60617
Phone (773) 768-7700

2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700

30 E 15th St
Chicago Hts, IL 60411
Phone (312) 206-1064

20180 S Lagrange Rd
Frankfort, IL 60423
Phone (630) 362-1035

19310 S Halsted St
Glenwood, IL 60425
Phone (708) 300-3132

6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831

7060 Centennial Dr
Ste 102
Tinley Park, IL 60477
Phone (708) 614-9800

Organizations & group practices 7

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1992704217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19310 S HALSTED ST",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "604251562",
            "telephone_number": "708-300-3132",
            "fax_number": "708-300-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19310 S HALSTED ST",
            "city": "GLENWOOD",
            "state": "IL",
            "postal_code": "60425",
            "telephone_number": "708-300-3132",
            "fax_number": "708-300-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-099950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, IL

Sources for this page

Verify at the official NPI Registry.