Organization
MICHAEL MCGUIRE, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHANE MCGUIRE MD (PRESIDENT)
(847) 676-2400
Entity
Organization
Contact information
Practice address
9711 SKOKIE BLVD, SUITE H, SKOKIE, IL 60077-1384
(847) 676-2400
(847) 676-2485
Mailing address
9711 SKOKIE BLVD, SUITE H, SKOKIE, IL 60077-1384
(847) 676-2400
(847) 676-2485
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622253
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/01/2007
Last updated
08/22/2020
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