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NPI 1003057712 · Family Medicine Physician · Hazel Crest, IL
Provider details
- NPI number
- 1003057712
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Meeks, Director(773) 610-0595
- License
- 036-099950 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11 Carrington Ct
Hazel Crest, IL 60429-2516
Phone: (773) 610-0595
Street-level locationGet directions
Mailing address
11 Carrington Ct
Hazel Crest, IL 60429-2516
Registry dates
- Enumerated
- 2009-03-10
- Last updated
- 2009-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.