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General NPI Number Information
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NPI Number | 1609810001
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Entity Type | Individual
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Provider Name | CASEY TOMAS MCGUIRE D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 2521 WAUKEGAN RD
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City | BANNOCKBURN
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State | IL
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Zip | 60015-1569
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Country | US
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Telephone | 847-267-0778
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Fax | 847-267-0668
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Provider Business Mailing Address
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Address Line | 18663 W WESTWOOD PL
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City | GURNEE
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State | IL
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Zip | 60031-1376
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Country | US
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Telephone | 608-469-6800
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4196-012
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038011540
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License Number State | IL
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