Individual
DR. MICHAEL GUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2655 WARRENVILLE RD STE 500, DOWNERS GROVE, IL 60515-5646
(855) 783-6877
Mailing address
3103 STANLEY LN, CHAMPAIGN, IL 61822-1126
(313) 670-6372
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-118646
IL
207P00000X
Emergency Medicine Physician
35460
IA
207Q00000X
Family Medicine Physician
Primary
036-118646
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036118646
BLUE SHIELD
IL
05
—
0361186461
—
IL
05
—
1444240
—
IA
01
—
24318
MIDLANDS CHOICE
—
01
—
38204
WELLMARK BCBS OF IOWA
—
01
—
P00198373
RAILROAD MEDICARE
—
01
—
P00941443
RRMCARE THRU CESII/GES
IL
Enumeration date
03/27/2006
Last updated
06/30/2023
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