MEDICARE: MICHAEL A. GUTHRIE D.D.S.

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	1223P0106X	Oral and Maxillofacial Pathology Dentistry	019-024222	IL

General Provider Information

NPI Number	:	1063504819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL A. GUTHRIE D.D.S.

Provider Business Mailing Address
First Line	:	2300 S MICHIGAN AVE STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-2119
Country	:	US
Telephone Number	:	872-302-5322
Fax Number	:	872-282-0337

Provider Business Practice Location Address
First Line	:	2300 S MICHIGAN AVE STE 100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60616-2119
Country	:	US
Telephone Number	:	872-302-5322
Fax Number	:	872-282-0337

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	09/08/2025

Similar Medicare Providers

1952095010 — NORTHSHORE ORAL SURGERY CENTER
Practice Location Address:

2300 S MICHIGAN AVE STE 100
CHICAGO, IL
60616-2119

Practice Phone: 773-255-1128
Practice Fax:

1427908789 — HIGHLAND PARK CVS LLC
Practice Location Address:

2101 E 71ST ST STE D
CHICAGO, IL
60649-2119

Practice Phone: 401-765-1500
Practice Fax:

1629199567 — DR. MICHAEL J TANSEY PH.D.
Practice Location Address:

151 N MICHIGAN AVE , SUITE 2119
CHICAGO, IL
60601-7506

Practice Phone: 312-729-5225
Practice Fax:

1316163447 — DR. SUZANNE MCNEILL PH.D.
Practice Location Address:

111 N WABASH AVE , SUITE 2119
CHICAGO, IL
60602-1903

Practice Phone: 312-372-0971
Practice Fax: 312-280-9942

1124468830 — CARSON MUMMA OTR/L
Practice Location Address:

2119 W BELMONT AVE , 1C
CHICAGO, IL
60618-6463

Practice Phone: 717-572-5899
Practice Fax:

1043696966 — ROHSAAN ALEXANDER
Practice Location Address:

8212 S ESCANABA AVE
CHICAGO, IL
60617-2119

Practice Phone: 773-910-2056
Practice Fax:

Directions to “ MICHAEL A. GUTHRIE D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.