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NPI Code Detail

MEDICARE: DR. MICHAEL S MCGUIRE MD

MEDICARE: DR. MICHAEL S 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
1208800000XUrology Physician036-088505IL
2208800000XUrology Physician036088505IL

General Provider Information

NPI Number : 1821018185
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL S MCGUIRE MD
Provider Business Mailing Address
First Line : 680 N. LAKE SHORE DRIVE
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2987
Country : US
Telephone Number : 312-695-6868
Fax Number :
Provider Business Practice Location Address
First Line : 800 N WESTMORELAND RD STE 100
Second Line :
City : LAKE FOREST
State : IL
Zip : 60045-1671
Country : US
Telephone Number : 847-602-4348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 04/02/2018

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Directions to “ DR. MICHAEL S MCGUIRE MD” Practice Location

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