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Individual
MELISSA JEAN REEVES
Active
Individual
MELISSA JEAN REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036100559
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001633810
BC PROVIDER NUMBER
IL
01
—
209634
MEDICARE PTAN
IL
Enumeration date
08/13/2006
Last updated
12/13/2023
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