Michelle Meeks, MD
Individual provider Active NPI Family Medicine Physician · Glenwood, IL
NPI 1992704217 · NPPES record last updated Jul 9, 2018
Key facts
- NPI
- 1992704217
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036-099950 (IL)
- Practice address
- 19310 S Halsted St
Glenwood, IL 60425 - Phone
- (708) 300-3132
- Fax
- (708) 300-3149
- NPI assigned
- Jul 19, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040913001018 | IL | Practitioner - Family Practice | 1759358476 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-099950 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Absolute Medical Group, Inc | Current |
Accepting new patients | |
| Emerge Medstaffing LLC | Family Medicine | Current |
Accepting new patients |
| Emerge Medstaffing LLC | Current | Accepting new patients | |
| PMR Illinois Holding, LLC | Current |
Accepting new patients | |
| Sullivan Urgent Aid Centers, LTD | Past | Accepting new patients | |
| South Suburban Senior Socialites, Inc | Past | Accepting new patients | |
| Human Enhancement Services NFP | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036-099950 | IL | Yes |
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
Other providers in Glenwood, IL
- Journeys of You
- Ashley Kendrick
- Kierra Langston
- Kendall Divante Leonard
- Justina Renee McFadden
- Missing Piece Behavioral Services, LLC
- Kimberly S Nelson-Arrington
- Nephesh Wellness LLC
- Philomena Odiase
- On Purpose Clinical Services LLC
All providers in Glenwood, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.