Individual
MICHAEL JOHN MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
890 GARFIELD AVE STE 103, LIBERTYVILLE, IL 60048-3100
(847) 990-5670
(847) 279-0069
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.074121
IL
207L00000X
Anesthesiology Physician
73428
MN
208VP0000X
Pain Medicine Physician
036.170125
IL
208VP0000X
Pain Medicine Physician
73428
MN
208VP0014X
Interventional Pain Medicine Physician
Primary
036.170125
IL
Other
Enumeration date
06/03/2019
Last updated
11/08/2024
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