DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. METTISA R. K. MCLEOD, MD

Active

MRS. METTISA R. K. MCLEOD, MD is a Family Medicine healthcare provider located in COLLINSVILLE, Illinois. NPI 1235245481 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · COLLINSVILLE, IL

Registration Details

NPI Number
1235245481
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2006 (19.980621031062 yrs)
Last Updated
Jun 5, 2015
Licenses
036113800 (IL)
036113800 (IL)
036113800 (IL)
036113800 (IL)
036113800 (IL)

Practice Information

Address
501 BELT LINE RD
SUITE 20-D
COLLINSVILLE, IL, 622344410
Browse IL providers · Browse ZIP 62234
Phone
6183436005
Fax
6183439114
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Adolescent Medicine
Additional Specialty
Geriatric Medicine
Additional Specialty
Sports Medicine

Other Family Medicine Providers in COLLINSVILLE, IL

Name Credential NPI
DR. JOSEPH MICHAEL CORVALLIS M.D. 1477506426
LOREN HUGHES M.D. 1104843796
DR. PATRICK ZIMMERMANN M.D. 1194749218
DR. RAJ M SAJID M.D. 1265529630
MR. MAKIN UDDIN AHMED MD 1821134495
DR. MAFETH ARAULA LIM DO 1194284414
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.