Individual
DR. CALVIN THOMAS MEINEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 LAKE ST, STE LL40, OAK PARK, IL 60301
(708) 383-7776
(708) 383-5249
Mailing address
1100 LAKE ST, STE LL40, OAK PARK, IL 60301
(708) 383-7776
(708) 383-5249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
03606488601
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110012154
RRMDC
—
01
—
31601138
BCBS
—
01
—
363386229
CIGNA
—
01
—
4491453
AETNA
—
01
—
98985
WELLMARK BCBS
—
01
—
IL064886
MUTUAL OF OMAHA
—
01
—
PR2994187
CIGNA
—
Enumeration date
09/07/2006
Last updated
05/13/2016
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