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1215920103

NPI Code Detail

MEDICARE: PHILIP WILLIAM MCGUIRE MD

MEDICARE: PHILIP WILLIAM MCGUIRE MD

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	207ZC0500X	Cytopathology Physician	01033795A	IN
2	207ZC0500X	Cytopathology Physician	03607	IL
3	207ZH0000X	Hematology (Pathology) Physician	01033795A	IN
4	207ZH0000X	Hematology (Pathology) Physician	036071972	IL
5	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	036071972	IL
6	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	01033795A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	351173213	OTHER	IN	ISPAT/INLAND
2	2826773004	OTHER	IN	CIGNA
3	82427	OTHER	IN	BC/BS
4	351173213	OTHER	IN	HFN
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	01630255	OTHER	IL	BC/BS
7	351173213	OTHER	IN	SAGAMORE

General Provider Information

NPI Number	:	1215920103
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP WILLIAM MCGUIRE MD

Provider Business Mailing Address
First Line	:	5700 SOUTHWYCK BLVD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-1509
Country	:	US
Telephone Number	:	800-288-8325
Fax Number	:	419-866-5453

Provider Business Practice Location Address
First Line	:	2434 INTERSTATE PLAZA DR
Second Line	:
City	:	HAMMOND
State	:	IN
Zip	:	46324-2671
Country	:	US
Telephone Number	:	800-937-5521
Fax Number	:	219-845-4088

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	02/06/2024

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Directions to “ PHILIP WILLIAM MCGUIRE MD” Practice Location

Language	Start Address	Practice Location

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