MEDICARE: MELODY CALLA REED PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	085-002754	IL
2	363A00000X	Physician Assistant	085002754	IL

General Provider Information

NPI Number	:	1659488054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELODY CALLA REED PA-C

Provider Business Mailing Address
First Line	:	1309 WENONAH AVE
Second Line	:
City	:	BERWYN
State	:	IL
Zip	:	60402-1243
Country	:	US
Telephone Number	:	630-484-6620
Fax Number	:

Provider Business Practice Location Address
First Line	:	2650 RIDGE AVE
Second Line	:	DEPARTMENT OF NEUROLOGY
City	:	EVANSTON
State	:	IL
Zip	:	60201-1718
Country	:	US
Telephone Number	:	847-570-2570
Fax Number	:	847-570-2073

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	02/11/2026

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Directions to “ MELODY CALLA REED PA-C” Practice Location

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