MELISSA MAGALLANES MD NPI 1073075479

NPI Information

  • NPI: 1073075479
  • Provider Name: MELISSA MAGALLANES, MD
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9555 S 52ND AVE
    OAK LAWN, IL
    ZIP 60453
  • Phone: (847) 318-9330

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NPI Details

Melissa Magallanes, MD is a developmental - behavioral pediatrics pediatrics in Oak Lawn, IL with 7 years of experience. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. Melissa Magallanes, MD NPI is 1073075479. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2019

The provider's business location address is:

9555 S 52ND AVE
OAK LAWN, IL
ZIP 60453-054
Phone: (847) 318-9330
Fax: (708) 876-9330

The NPI 1073075479 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2019 and was last updated on 10/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsDR.0068723COLORADONo
22080P0006XPediatricsDevelopmental - Behavioral Pediatrics036-174564ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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