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Individual

PATRICK L MCGINNIS

Active
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Individual

PATRICK L MCGINNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036053460
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053460
—
IL
01
—
205474002
MEDICARE INDIV ID# FOR GROUP 205474
IL
01
—
208256002
MEDICARE INDIV ID# FOR GROUP 208256
IL
01
—
336140002
MEDICARE INDIV ID# FOR GROUP 336140
IL
01
—
P00791994
MEDICARE RR
IL
01
—
P00791994 GRP-C31261
MEDICARE RR
IL
Enumeration date
01/24/2007
Last updated
01/20/2012
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