| Dr Michelle Meeks, MD | |
|
19310 S Halsted St, Glenwood, IL 60425 | |
| (708) 300-3132 | |
| (708) 300-3149 |
| Full Name | Dr Michelle Meeks |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 19310 S Halsted St, Glenwood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992704217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-099950 (Illinois) | Primary |
| Entity Name | Emerge Medstaffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780167841 PECOS PAC ID: 8123371341 Enrollment ID: O20181105001875 |
| Entity Name | Absolute Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407433824 PECOS PAC ID: 6507273844 Enrollment ID: O20210401001938 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle Meeks, MD 19310 S Halsted St, Glenwood, IL 60425-1562 Ph: (708) 300-3132 | Dr Michelle Meeks, MD 19310 S Halsted St, Glenwood, IL 60425 Ph: (708) 300-3132 |
Carlos Crudup, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 19310 S Halsted St, Glenwood, IL 60425 Phone: 708-300-3132 Fax: 708-300-3149 | |
Dr. Michael Louis Radzienda, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19310 S Halsted St, Glenwood, IL 60425 Phone: 708-300-3132 Fax: 773-790-4034 | |
Mohammed Adnan Khaleeluddin, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 19310 S Halsted St, Glenwood, IL 60425 Phone: 708-300-3132 Fax: 708-300-3149 | |
Richard Phillips, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 19310 S Halsted St, Glenwood, IL 60425 Phone: 708-300-3132 | |
Katrice Marie Brooks, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19310 S Halsted St, Glenwood, IL 60425 Phone: 708-300-3132 Fax: 773-790-4034 |