Individual
DENISE A MCGUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 FRANKLIN AVE, NORMAL, IL 61761-3558
(309) 454-1400
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036114173
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114173
—
IL
Enumeration date
10/11/2006
Last updated
10/27/2021
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