Look up the most recent NPI and PECOS records

Mark E Mckeigue

Family Medicine

Allopathic & Osteopathic Physicians

10755 W 163rd Place, Orland Park, IL 60467-8861

PECOS Enrollment

This provider is enrolled in PECOS as MARK MCKEIGUE.

Based on the most recent information from CMS, provider Mark E Mckeigue is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:47 AM.

Profile Details

Provider ID
1962480657
Provider Type
Individual
Full Name
Mckeigue, Mark E
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
1/4/2006
Last Updated
2/4/2014

Contact Information

Practice Location

10755 W 163rd Place, Orland Park, IL 60467-8861

(708) 873-1187

(708) 873-1204

Mailing Location

10755 W 163rd Place, Orland Park, IL 60467-8861

(708) 873-1187

(708) 873-1204

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 036056879 Illinois

Provider Identifiers

ID	Description	Issuer
ID 036056879	Description Medicaid	Issuer Unlisted Illinois

Mark E Mckeigue

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Gerry, Donald R

Chaung, Shawn Kenneth

Beller, Linda

Williams, Donna C

Montelpasse, Lisa Michele

Panozzo, John A

Klepek, Jannette

Wahood, Rama

Reeves Richardson, Tanya

Siebach, Timothy